Skip Navigation Link. Please press insert + down arrow if jaws does not start reading the content.

Provider Information for 1144355660


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

HILIFECARE LLC

Other Names:  
Doing Business As: 
FARMACIA MODELO COROZAL
Doing Business As: 
FARMACIA MODELO

Organization Subpart: NO

NPI: 1144355660
Last Updated: 2023-01-30
Certification Date: 2023-01-30

Details

NameValue
NPI1144355660
Enumeration Date2007-02-23
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: Mr. JAIME J JACKSON
Title: Member Hilifecare LLC/Owner LLC
Phone: 7876421385
Mailing Address 79 CALLE AMBER
SENDEROS EN MONTEHIEDRA
SAN JUAN, PR 00926
United States

Phone: 787-859-3040 | Fax:787-859-3040
 
Primary Practice Address CALLE GANDARA #12
COROZAL, PR 00783-2057
United States

Phone: 787-859-3040 | Fax:787-859-3040
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2082956PK
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 333600000X - Pharmacy
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyPR15-F-0808