Healthcare Provider Details

I. General information

NPI: 1023173218
Provider Name (Legal Business Name): FARMACIA LA NUEVA BARCELONETA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 07/26/2025
Certification Date: 07/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 140 KM 67 .5 BO FLORIDA AFUERA, LLANADAS
BARCELONETA PR
00617-2806
US

IV. Provider business mailing address

PO BOX 2054
BARCELONETA PR
00617-2054
US

V. Phone/Fax

Practice location:
  • Phone: 787-970-3542
  • Fax: 787-970-0839
Mailing address:
  • Phone: 787-970-3542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number17F3163
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier037745900
Identifier TypeMEDICAID
Identifier StatePR
Identifier Issuer
# 2
Identifier2087540
Identifier TypeOTHER
Identifier State
Identifier IssuerPK

VIII. Authorized Official

Name: BRENDA TORRES
Title or Position: REGISTER PHARMACIST
Credential:
Phone: 787-970-3542