Individual provider Active NPI

Jennifer Marie Fuentes, PHARM, D.

  • Ambulatory Care Pharmacist
  • San Juan, PR
National Provider Identifier
1033447768
Registry record updated Mar 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
5348 Issued in PR
Practice address
1612 Calle Guiadiana
Urb El Cerezal
San Juan, PR 00926-2942
Phone
(787) 546-6533
NPI assigned
Nov 18, 2009
Last updated
Mar 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 5348 PR Primary

Addresses

Primary practice location

1612 Calle Guiadiana
Urb El Cerezal
San Juan, PR 00926-2942

Mailing address

1612 Calle Guadiana
Urb. El Cerezal
San Juan, PR 00926-3012
Phone (787) 546-6533

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5348PRMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489190400000",
    "number": "1033447768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 CALLE GUADIANA",
            "address_2": "URB. EL CEREZAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263012",
            "telephone_number": "787-546-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 CALLE GUIADIANA",
            "address_2": "URB EL CEREZAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262942",
            "telephone_number": "787-546-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PHARM, D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2017-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "PR",
            "license": "5348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2017; 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.