Active NPI
Mildred, Inc.
- Community/Retail Pharmacy
- San Juan, PR
National Provider Identifier
1083863997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 10-F-2651
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.