Healthcare Provider Details

I. General information

NPI: 1972418515
Provider Name (Legal Business Name): FARMACIA INMACULADA LLC/FARMAPLUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

186 CALLE LUIS MUNOZ RIVERA
GUAYANILLA PR
00656-1974
US

IV. Provider business mailing address

69 CALLE COMERCIO
YAUCO PR
00698-3541
US

V. Phone/Fax

Practice location:
  • Phone: 787-835-3571
  • Fax: 787-835-3572
Mailing address:
  • Phone: 787-835-3571
  • Fax: 787-856-1460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: NADIA RIVERA RIVERA
Title or Position: ADMINISTRATOR
Credential:
Phone: 787-243-3705