Individual provider Active NPI

Deemarys N Soto-Hernandez, PHAMD

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1114457785
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6417 Issued in PR
Practice address
105 Gilberto Concepcion de Gracia
San Juan, PR 00901
Phone
(787) 725-2500
Fax
(787) 725-2526
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6417 PR Primary

Addresses

Primary practice location

105 Gilberto Concepcion de Gracia
San Juan, PR 00901

Mailing address

300 Blvd de la Montana Apt 660
San Juan, PR 00926-7030
Phone (787) 560-5011

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
6417PRMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caribe Pharmacy Management LLC Past Accepting new patients
Caribe Pharmacy Management LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1114457785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BLVD DE LA MONTANA APT 660",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267030",
            "telephone_number": "787-560-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GILBERTO CONCEPCION DE GRACIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00901",
            "telephone_number": "787-725-2500",
            "fax_number": "787-725-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO-HERNANDEZ",
        "first_name": "DEEMARYS",
        "middle_name": "N",
        "credential": "PHAMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6417",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 15, 2017; 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.