Sofia Beatriz Marrero-Medina

Primary specialty

PharmacistTaxonomy code 183500000X

License

006699 Issued in PR

Practice address

Bo Ceiba Norte Carr 31 KM 24.5
Juncos, PR 00777

Phone

(787) 705-2239

NPI assigned

Feb 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Farmacia del Pueblo de Vega Alta, Inc.

  • Community/Retail Pharmacy
  • Vega Alta, PR
  • NPI 1891819348

  Pharmacist

  NPD Authorized official

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1093468704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AVE LA SIERRA APT 29",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264337",
            "telephone_number": "787-414-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO CEIBA NORTE CARR 31 KM 24.5",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-705-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO-MEDINA",
        "first_name": "SOFIA",
        "middle_name": "BEATRIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "006699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Ivan Maldonado, M.D.
• Celines Maldonado
• Katiria Mangual Cuadrado, CPL
• Jamillette Marcano Marcano, MA
• Mariela Marquez Pantoja, M.D.
• Nelida Martinez Vazquez, M.D.
• Alessandra M Martinez, MPSY
• Doris Martinez, FNP
• Garmarie Massas Negron, MSW
• Emilys Matos

• Pharmacist in Juncos, PR
• Providers in Juncos, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.