Organization
SAUDARA L&A LLC
Active
Other names
Farmacia Vital
Organization subpart
No
Provider details
NPI number
Authorized official
LORAINE MUNOZ (OWNER)
(787) 413-4885
Entity
Organization
Contact information
Practice address
CARRETERA #3 PUNTA SANTIAGO PARCELA 131A, HUMACAO, PR 00791
(787) 719-5950
(787) 719-5952
Mailing address
PO BOX 1576, LAS PIEDRAS, PR 00771-1576
(787) 413-4885
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039640100
—
PR
Enumeration date
01/11/2024
Last updated
12/30/2025
Update your record
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