Individual provider Active NPI

Noemi Rivera Colon, PHARMACIST

  • Pharmacist
  • Gurabo, PR
National Provider Identifier
1114047297
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2482 Issued in PR
Practice address
Carretera 941
Salida Barrio Jaguas
Gurabo, PR 00778
Phone
(787) 737-4449
Fax
(787) 737-1242
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

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 2482 PR Primary

Addresses

Primary practice location

Carretera 941
Salida Barrio Jaguas
Gurabo, PR 00778

Mailing address

2Q1 Calle 17
Mirador de Bairoa
Caguas, PR 00727-1006
Phone (787) 743-0601

Other identifiers 1

IdentifierTypeStateIssuer
2482OtherPRPHARMACY 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

LicenseStateTypeSpecialty
2482PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114047297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2Q1 CALLE 17",
            "address_2": "MIRADOR DE BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271006",
            "telephone_number": "787-743-0601",
            "fax_number": "787-737-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 941",
            "address_2": "SALIDA BARRIO JAGUAS",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-737-4449",
            "fax_number": "787-737-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA COLON",
        "first_name": "NOEMI",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "2482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENCE",
            "identifier": "2482",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, 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.