Active NPI
Marisol Fernandez
- Pharmacist
- Hatillo, PR
National Provider Identifier
1174639850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4516
- Practice address
- Carr 492 KM 2.3
Bo Corcovada
Hatillo, PR 00659 - Phone
- (787) 820-4747
- Fax
- (787) 898-1859
- NPI assigned
- Aug 22, 2006
- Last updated
- Jul 8, 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 | 4516 | PR | Primary |
Addresses
Primary practice location
Carr 492 KM 2.3
Bo Corcovada
Hatillo, PR 00659
Mailing address
Q40 Calle 19
Urb Vista Azul
Arecibo, PR 00612-2639
Phone (787) 820-4747
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 |
|---|---|---|---|
| 4516 | PR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174639850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "Q40 CALLE 19",
"address_2": "URB VISTA AZUL",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006122639",
"telephone_number": "787-820-4747",
"fax_number": "787-898-1859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 492 KM 2.3",
"address_2": "BO CORCOVADA",
"city": "HATILLO",
"state": "PR",
"postal_code": "00659",
"telephone_number": "787-820-4747",
"fax_number": "787-898-1859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "MARISOL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hatillo, PR
- Farmacia Pajuil LLC (Farmacia Pajuil)
- Farmacia San Marcos Inc
- Fcia San Felipe Inc
- Natanael David Feliciano Vargas, PHARMD
- Ruth Naelis Feliciano Vargas, MD
- Pedro Luis Fernandez, BA, SOCIAL WORKER
- Maria De Los Angeles Figueroa, MD
- Sylvette J Figueroa, DMD
- Hector O. Florian Ramirez, MD
- For Eyes Optical of Puerto Rico, LLC
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.