MEDICARE: FARMACIA BRAU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	1314290002	PR

General Provider Information

NPI Number	:	1215149034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMACIA BRAU

Provider Business Mailing Address
First Line	:	PO BOX 144
Second Line	:
City	:	ANASCO
State	:	PR
Zip	:	00610-0144
Country	:	US
Telephone Number	:	787-826-4400
Fax Number	:	787-826-6738

Provider Business Practice Location Address
First Line	:	17 CALLE SAN ANTONIO
Second Line	:
City	:	ANASCO
State	:	PR
Zip	:	00610-2927
Country	:	US
Telephone Number	:	787-826-4400
Fax Number	:	787-826-6738

Authorized Official
Title or Position	:	OWNER
Name	:	SANTIAGO R. VARELA SR.
Credential	:
Telephone Number	:	787-826-4400

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	08/22/2020

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