Active NPI
Abimael Javier Rodriguez, PHARM.D
- Pharmacist
- Coamo, PR
National Provider Identifier
1174641021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5258
- Practice address
- Urb. Villa Madrid Calle 9 L-17
Coamo, PR 00769 - Phone
- (787) 408-3198
- Fax
- (787) 825-2290
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 5258 | PR | Primary |
Addresses
Primary practice location
Urb. Villa Madrid Calle 9 L-17
Coamo, PR 00769
Mailing address
Urb. Villa Madrid Calle 9 L-17
Coamo, PR 00769
Phone (787) 408-3198
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5258 | PR | MD | Pharmacist |
Organizations & group practices 1
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": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174641021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. VILLA MADRID CALLE 9 L-17",
"city": "COAMO",
"state": "PR",
"postal_code": "00769",
"telephone_number": "787-408-3198",
"fax_number": "787-825-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. VILLA MADRID CALLE 9 L-17",
"city": "COAMO",
"state": "PR",
"postal_code": "00769",
"telephone_number": "787-408-3198",
"fax_number": "787-825-2290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ABIMAEL",
"middle_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coamo, 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.