Individual provider Active NPI

Juliette Joan Torres Collazo, PHARMD

  • Pharmacist
  • Ponce, PR
National Provider Identifier
1124785886
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7072 Issued in PR
Practice address
1800 Calle Navarra
Ponce, PR 00716-4806
Phone
(787) 709-4591
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 2687 PR
Student in an Organized Health Care Education/Training Program 390200000X 2381 PR
Pharmacist 183500000X 7072 PR Primary

Addresses

Primary practice location

1800 Calle Navarra
Ponce, PR 00716-4806

Mailing address

1800 Calle Navarra
Ponce, PR 00716-4806
Phone (787) 709-4591

Other practice location 1

1730 Carr 506
Ponce, PR 00780-2925
Phone (787) 840-8801

Other practice location 2

1 Calle America
San Juan, PR 00907-5343
Phone (787) 758-2525

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

LicenseStateTypeSpecialty
2687PRMDPharmacist
7072PRMDPharmacist
2381PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1124785886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CALLE NAVARRA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164806",
            "telephone_number": "787-709-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CALLE NAVARRA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164806",
            "telephone_number": "787-709-4591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 Carr 506",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007802925",
            "country_code": "US",
            "telephone_number": "787-840-8801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Calle America",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009075343",
            "country_code": "US",
            "telephone_number": "787-758-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES COLLAZO",
        "first_name": "JULIETTE",
        "middle_name": "JOAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "2687",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "2381",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "7072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.