Healthcare Provider Details

I. General information

NPI: 1114844529
Provider Name (Legal Business Name): SERVICIOS FAMACEUTICOS SU SALUD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB MONTECASINO 241 CALLE PINO
TOA ALTA PR
00953
US

IV. Provider business mailing address

URB MONTECASINO 241 CALLE PINO
TOA ALTA PR
00953
US

V. Phone/Fax

Practice location:
  • Phone: 787-514-3709
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number
License Number State

VIII. Authorized Official

Name: DR. NORALIS MUNIZ
Title or Position: PHARMACIST
Credential: PHARMD
Phone: 787-514-3709