MEDICARE: MS. SUHEILY PADILLA QUIROS PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	6563	PR

General Provider Information

NPI Number	:	1568018190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUHEILY PADILLA QUIROS PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 25
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00970-0025
Country	:	US
Telephone Number	:	787-403-2628
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 AVE. ORQUIDEA # 5
Second Line	:	REPARTO VALENCIA
City	:	BAYAMON
State	:	PR
Zip	:	00959-0095
Country	:	US
Telephone Number	:	787-786-1084
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2019
Last Update Date	:	08/09/2019

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