MEDICARE: FARMACIA PAVIA INC

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	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1669479499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMACIA PAVIA INC

Provider Business Mailing Address
First Line	:	301 AVE DE DIEGO
Second Line	:
City	:	ARECIBO
State	:	PR
Zip	:	00612-4544
Country	:	US
Telephone Number	:	787-878-0330
Fax Number	:	787-817-0962

Provider Business Practice Location Address
First Line	:	301 AVE DE DIEGO
Second Line	:
City	:	ARECIBO
State	:	PR
Zip	:	00612-4544
Country	:	US
Telephone Number	:	787-878-0330
Fax Number	:	787-817-0962

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PATRICIA FOJO
Credential	:	CPO
Telephone Number	:	787-878-0330

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	08/22/2020

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Directions to “FARMACIA PAVIA INC ” Practice Location

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