=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972418515
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FARMACIA INMACULADA LLC/FARMAPLUS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2026
-----------------------------------------------------
Last Update Date | 08/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 186 CALLE LUIS MUNOZ RIVERA
-----------------------------------------------------
City | GUAYANILLA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00656-1974
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-835-3571
-----------------------------------------------------
Fax | 787-835-3572
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 69 CALLE COMERCIO
-----------------------------------------------------
City | YAUCO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00698-3541
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-835-3571
-----------------------------------------------------
Fax | 787-856-1460
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | NADIA RIVERA RIVERA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 787-243-3705
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------