Individual provider Active NPI

Mariluz Martinez

  • Pharmacist
  • Barranquitas, PR
National Provider Identifier
1073724753
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3911 Issued in PR
Practice address
Carrerera 152 KM 2.8
Bo. Quebradillas
Barranquitas, PR 00794-0959
Phone
(787) 857-7954
Fax
(787) 857-5249
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3911 PR Primary

Addresses

Primary practice location

Carrerera 152 KM 2.8
Bo. Quebradillas
Barranquitas, PR 00794-0959

Mailing address

HC 1 Box 5384
Barranquitas, PR 00794-9691
Phone (787) 857-1667

Other identifiers 1

IdentifierTypeStateIssuer
3911OtherPRPROFESIONAL LICENSE

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
3911PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073724753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 5384",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007949691",
            "telephone_number": "787-857-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRERERA 152 KM 2.8",
            "address_2": "BO. QUEBRADILLAS",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007940959",
            "telephone_number": "787-857-7954",
            "fax_number": "787-857-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARILUZ",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESIONAL LICENSE",
            "identifier": "3911",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barranquitas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.