Provider Demographics
NPI:1043369788
Name:FARMACIA QUINONES
Entity type:Organization
Organization Name:FARMACIA QUINONES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:H
Authorized Official - Last Name:NIEVES
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-836-1040
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:PENUELAS
Mailing Address - State:PR
Mailing Address - Zip Code:00624-0008
Mailing Address - Country:US
Mailing Address - Phone:787-836-1040
Mailing Address - Fax:787-836-1396
Practice Address - Street 1:418 CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:PENUELAS
Practice Address - State:PR
Practice Address - Zip Code:00624-2015
Practice Address - Country:US
Practice Address - Phone:787-836-1040
Practice Address - Fax:787-836-1396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07-F-09633336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy