Active NPI
Rafael A Gutierrez, R.PH.
- Pharmacist
- Aguadilla, PR
National Provider Identifier
1093000846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4015
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4015 | PR | MD | Diagnostic 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
- Madeline Guerrero Gonzalez, MD
- Annadysh Guerrero Pena, RPH
- Carlos E Guevara Munoz, M.D.
- Natalia Guevara Rivera, MD
- Karen Marie Gutierrez Concepcion, PSYD
- Sharmaine Gutierrez, SLP
- Omar Guzman Arce
- Havendetox PR LLC
- HDT Corp (Laboratorio Clinico y Bacteriologico Vior)
- HDT,Corp. (laboratorio clinico y bacteriologico vior)
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.