Active NPI
Alicia Marquez Carrillo, PHARMACIST
- Pharmacist
- Fajardo, PR
National Provider Identifier
1013038124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3944
- Practice address
- Urb Monte Brisas Calle J
A21
Fajardo, PR 00738-3349 - Phone
- (787) 863-4445
- Fax
- (787) 860-3070
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3944 | PR | Primary |
Addresses
Primary practice location
Urb Monte Brisas Calle J
A21
Fajardo, PR 00738-3349
Mailing address
Street 5-19 Monte Brisas V
Bloq. 5 Q 12
Fajardo, PR 00738
Phone (787) 435-1489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3944 | Other | PR | PHARMACIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3944 | PR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jorge Santiago Santiago | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Fajardo, PR
- NPI 1801978689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013038124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STREET 5-19 MONTE BRISAS V",
"address_2": "BLOQ. 5 Q 12",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-435-1489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB MONTE BRISAS CALLE J",
"address_2": "A21",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007383349",
"telephone_number": "787-863-4445",
"fax_number": "787-860-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ CARRILLO",
"first_name": "ALICIA",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "3944",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "3944",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fajardo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.