Healthcare Provider Details

I. General information

NPI: 1336183649
Provider Name (Legal Business Name): FARMACIA PAJUIL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 490 KM 3.2 SECTOR PAJUIL BO. CAMPO ALEGRE
HATILLO PR
00659
US

IV. Provider business mailing address

PO BOX 1323
HATILLO PR
00659-1323
US

V. Phone/Fax

Practice location:
  • Phone: 787-820-1972
  • Fax: 787-680-0188
Mailing address:
  • Phone: 787-820-1972
  • Fax: 787-680-0188

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 Number19F1215
License Number StatePR

VIII. Authorized Official

Name: MRS. ILIA MALDONADO
Title or Position: PRESIDENT
Credential:
Phone: 561-900-5929