Healthcare Provider Details

I. General information

NPI: 1770400814
Provider Name (Legal Business Name): MI FARMI FARMACIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 CALLE 32 STE 4
SAN JUAN PR
00927-4701
US

IV. Provider business mailing address

335 CALLE 32 STE 4
SAN JUAN PR
00927-4701
US

V. Phone/Fax

Practice location:
  • Phone: 939-258-4852
  • Fax:
Mailing address:
  • Phone: 939-258-4852
  • Fax:

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: YASANDRA MORALES RODRIGUEZ
Title or Position: PHARMACIST/OWNER
Credential: DR.
Phone: 939-258-4852