Active NPI
Maderic J Beriguete Miranda, PHARM D
- Pharmacist
- Carolina, PR
National Provider Identifier
1043857766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5305
- Practice address
- 2550 Ave de Diego
Carolina, PR 00987-4800 - Phone
- (787) 762-8412
- Fax
- (787) 762-8479
- NPI assigned
- Dec 2, 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 | 5305 | PR | Primary |
Addresses
Primary practice location
2550 Ave de Diego
Carolina, PR 00987-4800
Mailing address
PO Box 1310
Rio Grande, PR 00745-1310
Phone (787) 479-2862
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 |
|---|---|---|---|
| 5305 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caribe Pharmacy Management LLC | Past | Accepting new patients | |
| Caribe Pharmacy Management LLC | 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.
-
- Community/Retail Pharmacy
- Carolina, PR
- NPI 1194268482
-
- Community/Retail Pharmacy
- Carolina, PR
- NPI 1972882785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1043857766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1310",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007451310",
"telephone_number": "787-479-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 AVE DE DIEGO",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009874800",
"telephone_number": "787-762-8412",
"fax_number": "787-762-8479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERIGUETE MIRANDA",
"first_name": "MADERIC",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-02",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.