Active NPI
Persida Candelaria
- Pharmacist
- San Juan, PR
National Provider Identifier
1164564233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 002888
- Practice address
- 16 Rio Piedras Vly
San Juan, PR 00926-1426 - Phone
- (787) 763-6253
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 002888 | PR | Primary |
Addresses
Primary practice location
16 Rio Piedras Vly
San Juan, PR 00926-1426
Mailing address
Rio Piedras Valley # 16
San Juan, PR 00924
Phone (787) 763-6253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002888 | Other | PR | PHARMACIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002888 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164564233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RIO PIEDRAS VALLEY # 16",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "787-763-6253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 RIO PIEDRAS VLY",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009261426",
"telephone_number": "787-763-6253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANDELARIA",
"first_name": "PERSIDA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "002888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "0002888",
"state": "PR"
}
],
"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 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.