Healthcare Provider Details

I. General information

NPI: 1811060395
Provider Name (Legal Business Name): FARMACIA GABRIELLA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 7 BOX 33330
CAGUAS PR
00727-9451
US

IV. Provider business mailing address

HC 7 BOX 33330
CAGUAS PR
00727-9451
US

V. Phone/Fax

Practice location:
  • Phone: 787-258-0805
  • Fax: 787-743-3275
Mailing address:
  • Phone: 787-258-0805
  • Fax: 787-743-3275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number4916200001
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberDF-02290-5
License Number StatePR

VIII. Authorized Official

Name: MR. JOSE RAUL DIEPPA
Title or Position: PRESIDENT
Credential:
Phone: 787-258-0805