Individual provider Active NPI

Daibelis Leon Amaro

  • Pharmacist
  • Caguas, PR
National Provider Identifier
1053815829
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6546 Issued in PR
Practice address
400 Grand Boulevard Los Prados Apto 9102
Cond Armonia
Caguas, PR 00727
Phone
(787) 307-1471
NPI assigned
Mar 19, 2018
Last updated
Mar 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6546 PR Primary

Addresses

Primary practice location

400 Grand Boulevard Los Prados Apto 9102
Cond Armonia
Caguas, PR 00727

Mailing address

400 Grand Boulevard Los Prados Apto 9102
Cond Armonia
Caguas, PR 00727

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

LicenseStateTypeSpecialty
6546PRMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1053815829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GRAND BOULEVARD LOS PRADOS APTO 9102",
            "address_2": "COND ARMONIA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GRAND BOULEVARD LOS PRADOS APTO 9102",
            "address_2": "COND ARMONIA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-307-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON AMARO",
        "first_name": "DAIBELIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6546",
            "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 Mar 19, 2018; 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.