Individual provider Active NPI

Rafael A Gutierrez, R.PH.

  • Pharmacist
  • Aguadilla, PR
National Provider Identifier
1093000846
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4015 Issued in PR
Practice address
Dba: Walgreens 00177 Carr 2 KM 129.7
Int Carr 111 Bo. Victoria
Aguadilla, PR 00605-4005
Phone
(787) 882-8044
Fax
(787) 882-0655
NPI assigned
Jun 9, 2011
Last updated
Jun 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4015 PR Primary

Addresses

Primary practice location

Dba: Walgreens 00177 Carr 2 KM 129.7
Int Carr 111 Bo. Victoria
Aguadilla, PR 00605-4005

Mailing address

Carr #2 KM 129.7
Int Carr 111 Bo. Victoria
Aguadilla, PR 00605-4007
Phone (787) 882-8044

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
4015PRMDDiagnostic Ultrasound Physician

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1093000846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 129.7",
            "address_2": "INT CARR 111 BO. VICTORIA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054007",
            "telephone_number": "787-882-8044",
            "fax_number": "787-882-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DBA: WALGREENS 00177 CARR 2 KM 129.7",
            "address_2": "INT CARR 111 BO. VICTORIA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054005",
            "telephone_number": "787-882-8044",
            "fax_number": "787-882-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "RAFAEL",
        "middle_name": "A",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.