Organization Active NPI

Portal Inc. Farmacia Luciano

  • Pharmacist
  • Mayaguez, PR
National Provider Identifier
1386787364
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4335 Issued in PR
Legal business name
PORTAL INC. FARMACIA LUCIANO
Practice address
Mendez Vigo 67 Este
Mayaguez, PR 00680
Phone
(787) 834-5200
Fax
(787) 805-4030
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jesus G PortalNPI 1679809651
Title
President
Phone
(787) 834-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 4335 PR Primary
Pharmacy 333600000X 07-F-0899 PR

Addresses

Primary practice location

Mendez Vigo 67 Este
Mayaguez, PR 00680

Mailing address

Mendez Vigo 67 Este
Mayaguez, PR 00680
Phone (787) 834-5200

National Provider Directory

National Provider Directory

Locations

67 Calle Mendez Vigo E
Mayaguez, PR 00680
Phone (787) 832-6645

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1386787364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MENDEZ VIGO 67 ESTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-5200",
            "fax_number": "787-805-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MENDEZ VIGO 67 ESTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-5200",
            "fax_number": "787-805-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAL INC. FARMACIA LUCIANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PORTAL",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-834-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4335",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "07-F-0899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.