Provider Demographics
NPI:1689701443
Name:FARMACIA LUMA
Entity type:Organization
Organization Name:FARMACIA LUMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ABDIEL
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1787-722-0335
Mailing Address - Street 1:PMB 182
Mailing Address - Street 2:CAMPO RICO AVE. 779
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-722-0335
Mailing Address - Fax:787-725-8292
Practice Address - Street 1:255 CALLE DE SAN FRANCISCO
Practice Address - Street 2:OLD SAN JUAN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901-1724
Practice Address - Country:US
Practice Address - Phone:787-722-0335
Practice Address - Fax:787-725-8292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07-F-02193336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy