# FARMACIA NUEVA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619029204
- **Authorized official:** YOLANDA DIAZ (RPH OWNER)
- **Authorized official phone:** (787) 732-4799

## Contact information

- **Practice address:** CARR. 156 KM 49.0, AGUAS BUENAS, PR 00703-1202
- **Practice address phone:** (787) 732-4799
- **Practice address fax:** (787) 732-4799
- **Mailing address:** PO BOX 1202, AGUAS BUENAS, PR 00703-1202
- **Mailing address phone:** (787) 732-4799
- **Mailing address fax:** (787) 732-4799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07-F-1381 | PR | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 07-F-1381 | PHARMACY LIC. | PR |
| 01 | — | DF-02035-4 | ASSMCA CERTIFICATE | PR |