Active NPI
Nirca Jetzenia Nieves, R.PH, PHD
- Pharmacist
- Bayamon, PR
National Provider Identifier
1083907786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5036
- Practice address
- Plaza Laurel
Bayamon, PR 00956-3273 - Phone
- (787) 269-4200
- Fax
- (787) 269-4270
- NPI assigned
- May 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5036 | PR | Primary |
Addresses
Primary practice location
Plaza Laurel
Bayamon, PR 00956-3273
Mailing address
Plaza Laurel
Bayamon, PR 00956-3273
Phone (787) 269-4200
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
- Credentials
- Doctor of Philosophy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5036 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1083907786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PLAZA LAUREL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009563273",
"telephone_number": "787-269-4200",
"fax_number": "787-269-4270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAZA LAUREL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009563273",
"telephone_number": "787-269-4200",
"fax_number": "787-269-4270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "NIRCA",
"middle_name": "JETZENIA",
"credential": "R.PH, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-27",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.