Active NPI
Raul Rodriguez
- Pharmacist
- San Juan, PR
National Provider Identifier
1104167410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 002501
- Practice address
- Sarasate 936 Reparto Sevilla
San Juan, PR 00924 - Phone
- (787) 597-0394
- Fax
- (787) 273-2121
- NPI assigned
- Mar 12, 2013
- Sex
- Male
- 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 | 002501 | PR | Primary |
Addresses
Primary practice location
Sarasate 936 Reparto Sevilla
San Juan, PR 00924
Mailing address
Sarasate 936 Reparto Sevilla
San Juan, PR 00924
Phone (787) 597-0394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002501 | Other | PR | PHARMACIST LICENCE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002501 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1104167410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SARASATE 936 REPARTO SEVILLA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "787-597-0394",
"fax_number": "787-273-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SARASATE 936 REPARTO SEVILLA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "787-597-0394",
"fax_number": "787-273-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "RAUL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-12",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "002501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENCE",
"identifier": "002501",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}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 Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.