Active NPI
Gilmary Betancourt Marrero
- Pharmacist
- Guaynabo, PR
National Provider Identifier
1013696822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8105
- Practice address
- 2505 Carr 841
Guaynabo, PR 00969-3841 - Phone
- (787) 287-0528
- NPI assigned
- Jul 18, 2023
- 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 | 8105 | PR | Primary |
Addresses
Primary practice location
2505 Carr 841
Guaynabo, PR 00969-3841
Mailing address
Bosque del Lago BC1 Via Ontario
Trujillo Alto, PR 00976-6042
Phone (787) 943-7049
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 |
|---|---|---|---|
| 8105 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1013696822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOSQUE DEL LAGO BC1 VIA ONTARIO",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009766042",
"telephone_number": "787-943-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 CARR 841",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009693841",
"telephone_number": "787-287-0528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETANCOURT MARRERO",
"first_name": "GILMARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-18",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "8105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.