Provider Demographics
NPI:1093327157
Name:QUIROZ LLC
Entity type:Organization
Organization Name:QUIROZ LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:MRS
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIROS RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-786-1084
Mailing Address - Street 1:200 URB.REPARTO VALENCIA
Mailing Address - Street 2:AVE.ORQUIDEA #5
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-400-6243
Mailing Address - Fax:787-798-1875
Practice Address - Street 1:CALLE WILLIAM FONT FINAL
Practice Address - Street 2:
Practice Address - City:CULEBRA
Practice Address - State:PR
Practice Address - Zip Code:00775
Practice Address - Country:US
Practice Address - Phone:787-400-6243
Practice Address - Fax:787-798-1875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR038299300Medicaid