| Organization Name: | FARMACIA DORAL, INC. |
| NPI Number: | 1003989831 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK C MONTGOMERY (PRESIDENT & CEO) |
| Mailing Address: | Los Arcos De Suchville Bldg Suite 302 #108 Carr #2 Km 7.4 Guaynabo |
| State: | PR US |
| Postal Code: | 009661829 |
| Phone Number: | 7877807202 |
| Fax Number: | 7877791430 |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 04/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 5022620001 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |