Individual provider Active NPI

Sheila Perea Diaz

  • Pharmacist
  • Fajardo, PR
National Provider Identifier
1114046992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4277 Issued in PR
Practice address
Farmacia San Miguel
Calle Dr. Lopez # 54
Fajardo, PR 00738
Phone
(787) 863-1870
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4277 PR Primary

Addresses

Primary practice location

Farmacia San Miguel
Calle Dr. Lopez # 54
Fajardo, PR 00738

Mailing address

168 Calle 7
Urb. Brisas de Ceiba
Ceiba, PR 00735-3117
Phone (787) 608-9027

Other identifiers 1

IdentifierTypeStateIssuer
004277OtherPRAUXILIAR DE FARMACIA

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

LicenseStateTypeSpecialty
4277PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia San Miguel Past Accepting new patients
J.I.L. Pharmacy Care Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114046992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 CALLE 7",
            "address_2": "URB. BRISAS DE CEIBA",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "007353117",
            "telephone_number": "787-608-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FARMACIA SAN MIGUEL",
            "address_2": "CALLE DR. LOPEZ # 54",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-863-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "SHEILA",
        "middle_name": "PEREA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUXILIAR DE FARMACIA",
            "identifier": "004277",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.