Provider Demographics
NPI:1083152896
Name:MILLAN-MOLINA, JOEL MANUEL (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:MANUEL
Last Name:MILLAN-MOLINA
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2062
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-2062
Mailing Address - Country:US
Mailing Address - Phone:787-389-0401
Mailing Address - Fax:877-552-1013
Practice Address - Street 1:CARR. PR-9914, KM 0.1, BO. CAMINO NUEVO
Practice Address - Street 2:
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767
Practice Address - Country:US
Practice Address - Phone:787-389-0401
Practice Address - Fax:877-552-1013
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-01
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6416183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist