# FARMACIA SAN MIGUEL SL INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia San Miguel SL Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902164387
- **Authorized official:** JORGE ROSA (SECRETARY)
- **Authorized official phone:** (939) 218-1073

## Contact information

- **Practice address:** CARRT. 181 KM 0.6 INT. CARRT. 183, SAN LORENZO, PR 00754
- **Practice address phone:** (787) 736-2900
- **Practice address fax:** (787) 736-2800
- **Mailing address:** PO BOX 593, GURABO, PR 00778-0593
- **Mailing address phone:** (939) 218-1073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 14F3020 | PR | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/24/2012
- **Last updated:** 04/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4028115 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |