Maria Del C. Guisao, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

3969 Issued in PR

Practice address

198 Calle Tebas
Urb. Olympic Court C20
Las Piedras, PR 00771-9017

Phone

(787) 285-0810

Fax

(787) 285-0810

NPI assigned

Jun 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Idalines Pena Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1043504558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB, OLYMPIC COURT C20 CALLE TEBAS",
            "address_2": "CALLE TEBAS #198",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-285-0810",
            "fax_number": "787-285-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 CALLE TEBAS",
            "address_2": "URB. OLYMPIC COURT C20",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007719017",
            "telephone_number": "787-285-0810",
            "fax_number": "787-285-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUISAO",
        "first_name": "MARIA",
        "middle_name": "DEL C.",
        "name_prefix": "Mrs.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IDALINES",
            "last_name": "PENA",
            "prefix": "MRS.",
            "credential": "PHARMACIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eugenio Gonzalez, DMD
• Marta Maria Gonzalez, M.D.
• Mayra A Gonzalez
• Victor M Grillo, MD
• GS Multiservices Corporation
• Guomet-Av Inc
• Manuel Antonio Gutierrez Hernandez Sr., MD
• Chadli Gutierrez, PSY,D
• Gretchen G Gutierrez
• Lily B Guzman Bosch, M.D.

• Pharmacist in Las Piedras, PR
• Providers in Las Piedras, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.