Organization Active NPI

Mildred, Inc.

  • Community/Retail Pharmacy
  • San Juan, PR
National Provider Identifier
1083863997
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10-F-2651 Issued in PR
Legal business name
MILDRED, INC.
Practice address
Cond Emiliano Pol # 489
San Juan, PR 00917-5102
Phone
(787) 702-1300
Fax
(787) 708-1800
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Mildred Quintana
Title
Pharmacist
Phone
(787) 708-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 10-F-2651 PR Primary

Addresses

Primary practice location

Cond Emiliano Pol # 489
San Juan, PR 00917-5102

Mailing address

749 Calle Lincoln
San Juan, PR 00926-5627
Phone (787) 708-1300

Other names 1

  • Farmacia Villa Esperanza Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1083863997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 CALLE LINCOLN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265627",
            "telephone_number": "787-708-1300",
            "fax_number": "787-708-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND EMILIANO POL # 489",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175102",
            "telephone_number": "787-702-1300",
            "fax_number": "787-708-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILDRED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-708-1300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "10-F-2651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia Villa Esperanza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.