1275633448 NPI number — QUIROZ LLC

Table of content: (NPI 1275633448)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275633448 NPI number — QUIROZ LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QUIROZ LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FARMACIA CRISTINA LOS FILTROS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275633448
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/19/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 AVE CASA LINDA
Provider Second Line Business Mailing Address:
CARR 177 KM 2.0 LOS FILTROS SUITE 101
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00959
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-272-4998
Provider Business Mailing Address Fax Number:
787-272-4969

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 AVE CASA LINDA
Provider Second Line Business Practice Location Address:
CARR 177 KM 2 0, LOS FILTROS, SUITE 101
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00959-9000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-272-4998
Provider Business Practice Location Address Fax Number:
787-272-4969
Provider Enumeration Date:
09/25/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
QUIROS
Authorized Official First Name:
MILDRED
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-786-1084

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)