MEDICARE: JORGE LUIS MOLIER

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	183500000X	Pharmacist	PS69777	FL

General Provider Information

NPI Number	:	1740158658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE LUIS MOLIER

Provider Business Mailing Address
First Line	:	3388 W 73RD TER
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-1737
Country	:	US
Telephone Number	:	305-557-6395
Fax Number	:

Provider Business Practice Location Address
First Line	:	7605 W 33RD CT
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-5003
Country	:	US
Telephone Number	:	305-557-6395
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	10/23/2025

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Directions to “ JORGE LUIS MOLIER ” Practice Location

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