# FARMACIA EL DIVINO NINO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia El Divino Nino LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720185655
- **Authorized official:** XOCHITL RIVERA RPH (PHARMACIST/OWNER)
- **Authorized official phone:** (787) 818-4839

## Contact information

- **Practice address:** CARR 110 KM 10.5, 835 CONCEPCION VERA, MOCA, PR 00676
- **Practice address phone:** (787) 818-4839
- **Practice address fax:** (787) 877-8129
- **Mailing address:** 835 CALLE CONCEPCION VERA, MOCA, PR 00676-5016
- **Mailing address phone:** (787) 818-4839
- **Mailing address fax:** (787) 877-8129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 17-F-2289 | PR | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 06/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2087087 | PK | — |