Active NPI
Luiggi Perez Soto, PHARMD
- Pharmacist
- San Sebastian, PR
National Provider Identifier
1104522887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 008052
- Practice address
- Carretera 111 KM 14.5
Barrio Hato Arriba
San Sebastian, PR 00685 - Phone
- (787) 896-6340
- Fax
- (787) 896-3036
- NPI assigned
- Feb 3, 2023
- 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 | 008052 | PR | Primary |
Addresses
Primary practice location
Carretera 111 KM 14.5
Barrio Hato Arriba
San Sebastian, PR 00685
Mailing address
PO Box 3005
Hato Arriba Station
San Sebastian, PR 00685
Phone (787) 877-3432
Other practice location 1
Carretera 420 KM 2.2
Barrio Voladoras
Moca, PR 00676
Phone (787) 877-9922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008052 | Other | PR | PUERTO RICO PHARMACY BOARD |
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 Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008052 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roberto Perez Carril | Pharmacist | Current | Accepting new patients |
| Farmacia El Buen Pastor 2 LLC | Current | Accepting new patients | |
| 16TH Street Community Health Center Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Moca, PR
- NPI 1386979672
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1417912999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1104522887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3005",
"address_2": "HATO ARRIBA STATION",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "00685",
"telephone_number": "787-877-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 111 KM 14.5",
"address_2": "BARRIO HATO ARRIBA",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "00685",
"telephone_number": "787-896-6340",
"fax_number": "787-896-3036"
}
],
"practiceLocations": [
{
"address_1": "Carretera 420 KM 2.2",
"address_2": "Barrio Voladoras",
"address_purpose": "LOCATION",
"city": "Moca",
"state": "PR",
"postal_code": "00676",
"country_code": "US",
"telephone_number": "787-877-9922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ SOTO",
"first_name": "LUIGGI",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-03",
"last_updated": "2023-02-03",
"certification_date": "2023-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "008052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUERTO RICO PHARMACY BOARD",
"identifier": "008052",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.