Active NPI
Edwin Valentin
- Pharmacist
- Cidra, PR
National Provider Identifier
1063408946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS38552
- Practice address
- Rd. #1 KM 49.0
Cidra, PR 00739-0073 - Phone
- (787) 714-1111
- Fax
- (787) 715-7332
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PS38552 | FL | |
| Pharmacist | 183500000X | PS38552 | FL | Primary |
Addresses
Primary practice location
Rd. #1 KM 49.0
Cidra, PR 00739-0073
Mailing address
HC 71 Box 7619
Cayey, PR 00736-9575
Phone (407) 765-6131
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 |
|---|---|---|---|
| PS38552 | FL | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmacia Beatriz LLC. | Current | Accepting new patients |
Organizations & group practices 1
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
- Cidra, PR
- NPI 1437753498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1063408946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 71 BOX 7619",
"city": "CAYEY",
"state": "PR",
"postal_code": "007369575",
"telephone_number": "407-765-6131",
"fax_number": "787-715-7332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RD. #1 KM 49.0",
"city": "CIDRA",
"state": "PR",
"postal_code": "007390073",
"telephone_number": "787-714-1111",
"fax_number": "787-715-7332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTIN",
"first_name": "EDWIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2021-03-18",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "FL",
"license": "PS38552",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS38552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cidra, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.