Active NPI
Idamith M. Romera, PHARMACIST
- Pharmacist
- Humacao, PR
National Provider Identifier
1053697532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3980
- Practice address
- Urb. San Antonio
Calle 4 F-9
Humacao, PR 00791 - Phone
- (787) 282-7400
- NPI assigned
- Oct 27, 2011
- 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 | 3980 | PR | Primary |
Addresses
Primary practice location
Urb. San Antonio
Calle 4 F-9
Humacao, PR 00791
Mailing address
PO Box 365028
San Juan, PR 00936-5028
Phone (787) 282-7400
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 |
|---|---|---|---|
| 3980 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1053697532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 365028",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009365028",
"telephone_number": "787-282-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. SAN ANTONIO",
"address_2": "CALLE 4 F-9",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-282-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERA",
"first_name": "IDAMITH",
"middle_name": "M.",
"name_prefix": "Miss",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-27",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "3980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.