Active NPI
Lyanne J Reyes Alicea, PHARMD
- Pharmacist
- Caguas, PR
National Provider Identifier
1033768189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6626
- Practice address
- Hospital Menonita Caguas
Urb. Turabo Gardens Carr. 172 Caguas a Cidra
Caguas, PR 00726 - Phone
- (787) 653-0550
- Fax
- (787) 653-0538
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 6626 | PR | Primary |
Addresses
Primary practice location
Hospital Menonita Caguas
Urb. Turabo Gardens Carr. 172 Caguas a Cidra
Caguas, PR 00726
Mailing address
A25 Pedro P. Colon Street
Coamo, PR 00769
Phone (787) 585-8848
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6626 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1033768189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A25 PEDRO P. COLON STREET",
"city": "COAMO",
"state": "PR",
"postal_code": "00769",
"telephone_number": "787-585-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL MENONITA CAGUAS",
"address_2": "URB. TURABO GARDENS CARR. 172 CAGUAS A CIDRA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00726",
"telephone_number": "787-653-0550",
"fax_number": "787-653-0538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES ALICEA",
"first_name": "LYANNE",
"middle_name": "J",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "PR",
"license": "6626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.