Provider Demographics
NPI:1326574559
Name:LLUCH, PATRICIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:LLUCH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 CALLE PALMA DE SIERRA
Mailing Address - Street 2:BOSQUE SENORIAL
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-1993
Mailing Address - Country:US
Mailing Address - Phone:787-380-4947
Mailing Address - Fax:787-267-7866
Practice Address - Street 1:CARR 128 KM 2.2
Practice Address - Street 2:SUITE 110 YAUCO GALLERY
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-267-9000
Practice Address - Fax:787-267-7866
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-09
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6258183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR037684500Medicaid