Healthcare Provider Details

I. General information

NPI: 1447344742
Provider Name (Legal Business Name): FARMACIA FELICIANO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

#5 CRISTOBAL COLON STREET
YABUCOA PR
00767-0490
US

IV. Provider business mailing address

PO BOX 490
YABUCOA PR
00767-0490
US

V. Phone/Fax

Practice location:
  • Phone: 787-893-2280
  • Fax: 787-893-5819
Mailing address:
  • Phone: 787-893-2280
  • Fax: 787-893-5819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number09-F-1116
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number4014837
License Number StatePR

VIII. Authorized Official

Name: MS. CARMEN E. FELICIANO
Title or Position: PRESIDENT
Credential: PHARMACIST
Phone: 787-893-2280