MEDICARE: FARMACIA NIEVES INC

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	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396737672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMACIA NIEVES INC

Provider Business Mailing Address
First Line	:	HC 4 BOX 8302
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-9723
Country	:	US
Telephone Number	:	787-957-7172
Fax Number	:	787-957-7173

Provider Business Practice Location Address
First Line	:	BO. LAS 400TAS
Second Line	:	CARRETERA 185 KM. 15.8
City	:	CANOVANAS
State	:	PR
Zip	:	00729
Country	:	US
Telephone Number	:	787-957-7172
Fax Number	:	787-957-7173

Authorized Official
Title or Position	:	REGISTERED PHARMACIST/OWNER
Name	:	MRS. ANA G. NIEVES VELAZQUEZ
Credential	:	R.PH.
Telephone Number	:	787-876-2006

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	12/12/2025

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Directions to “FARMACIA NIEVES INC ” Practice Location

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