Healthcare Provider Details

I. General information

NPI: 1124910427
Provider Name (Legal Business Name): FARMACIA DEL CARMEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2025
Last Update Date: 07/19/2025
Certification Date: 07/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 CALLE 4 DE JULIO
OROCOVIS PR
00720-4433
US

IV. Provider business mailing address

33 CALLE 4 DE JULIO
OROCOVIS PR
00720-4433
US

V. Phone/Fax

Practice location:
  • Phone: 787-867-2380
  • Fax: 787-867-1705
Mailing address:
  • Phone: 787-867-2380
  • Fax: 787-867-1705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

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

# 1
Identifier1255437885
Identifier TypeOTHER
Identifier State
Identifier IssuerNPI

VIII. Authorized Official

Name: ANA COLON
Title or Position: PRESIDENT/PHARMACIST
Credential:
Phone: 787-381-1209