Healthcare Provider Details

I. General information

NPI: 1871533638
Provider Name (Legal Business Name): FARMACIA VALLEMAR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

Z1 AVE CARLOS J ANDALUZ URB. LOMAS VERDES
BAYAMON PR
00956-3467
US

IV. Provider business mailing address

PO BOX 11175
SAN JUAN PR
00922-1175
US

V. Phone/Fax

Practice location:
  • Phone: 787-785-2458
  • Fax: 787-785-2458
Mailing address:
  • Phone: 787-785-2458
  • Fax: 787-785-2458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number3871850001
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number07-F-1655
License Number StatePR

VIII. Authorized Official

Name: MRS. LILLIAM M VALLE
Title or Position: PHARMACIST-OWNER
Credential: RPH
Phone: 787-785-2458