Healthcare Provider Details

I. General information

NPI: 1780745828
Provider Name (Legal Business Name): SYLVIA G. LLANTIN PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 10/05/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CALLE CARRO
SAN GERMAN PR
00683-4043
US

IV. Provider business mailing address

5 CALLE CARRO
SAN GERMAN PR
00683-4043
US

V. Phone/Fax

Practice location:
  • Phone: 787-892-5290
  • Fax: 787-264-4440
Mailing address:
  • Phone: 787-892-5290
  • Fax: 787-264-4440

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:
Title or Position:
Credential:
Phone: