Ligia M Melendez – Pharmacist in San Juan, PR

Key facts

NPI: 1154547156
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 003040 (PR)
Practice address: Urb El Vedado Cond El Centro Suite 15
San Juan, PR 00918
Phone: (787) 763-5308
Fax: (787) 763-5312
NPI assigned: Apr 18, 2007
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
003040	PR	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	003040	PR	Yes

Addresses

Primary practice location

Urb El Vedado Cond El Centro Suite 15
San Juan, PR 00918

Mailing address

As6 Calle 17
Urbanizacion Praderas
Toa Baja, PR 00949-4084
Phone (787) 646-2630

Other identifiers

Identifier	Type	State	Issuer
003040	Other	PR	PHARMACIST LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154547156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AS6 CALLE 17",
            "address_2": "URBANIZACION PRADERAS",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494084",
            "telephone_number": "787-646-2630",
            "fax_number": "787-763-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB EL VEDADO COND EL CENTRO SUITE 15",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-763-5308",
            "fax_number": "787-763-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "LIGIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "003040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "003040",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

All providers in San Juan, PR · Pharmacist in Puerto Rico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.