MEDICARE: FARMACIA YARIMAR

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	333600000X	Pharmacy	93-140	PR

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
2	4019306	OTHER	PR	PHARMACY

General Provider Information

NPI Number	:	1912907049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMACIA YARIMAR

Provider Business Mailing Address
First Line	:	904 CALLE 31 SO
Second Line	:	LAS LOMAS, RIO PIEDRAS
City	:	SAN JUAN
State	:	PR
Zip	:	00921-2426
Country	:	US
Telephone Number	:	787-774-4441
Fax Number	:	787-774-4441

Provider Business Practice Location Address
First Line	:	904 CALLE 31 SO
Second Line	:	LAS LOMAS, RIO PIEDRAS
City	:	SAN JUAN
State	:	PR
Zip	:	00921-2426
Country	:	US
Telephone Number	:	787-774-4441
Fax Number	:	787-774-4441

Authorized Official
Title or Position	:	OWNER
Name	:	MISS EDNA M LOPEZ
Credential	:
Telephone Number	:	787-792-3196

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	06/19/2025

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1194771956 — MR. STEPHEN F SIGNER MD CM
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Directions to “FARMACIA YARIMAR ” Practice Location

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