Active NPI
Edgardo R Carmona, PHARM D
- Pharmacotherapy Pharmacist
- Ponce, PR
National Provider Identifier
1184819245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 4561
- Practice address
- 2188 Eduardo Ruberte Ave
Suite 105
Ponce, PR 00716 - Phone
- (787) 844-1084
- Fax
- (787) 844-1080
- NPI assigned
- Sep 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 4561 | PR | Primary |
Addresses
Primary practice location
2188 Eduardo Ruberte Ave
Suite 105
Ponce, PR 00716
Mailing address
1840 Calle Infanta
Valle Real
Ponce, PR 00716-0506
Phone (787) 841-1883
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 |
|---|---|---|---|
| 4561 | PR | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1184819245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 CALLE INFANTA",
"address_2": "VALLE REAL",
"city": "PONCE",
"state": "PR",
"postal_code": "007160506",
"telephone_number": "787-841-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2188 EDUARDO RUBERTE AVE",
"address_2": "SUITE 105",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-844-1084",
"fax_number": "787-844-1080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMONA",
"first_name": "EDGARDO",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-12",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "PR",
"license": "4561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
- Caribben Neuroradiology Services, Inc.
- Caribe Pharmacy Management LLC
- Caribe-Sur Investments, Inc.
- Karolyn Nicole Carlo
- Javier Alejandro Carmona-Morales, PHARMD
- Luisardo Carmona, SOCIAL WORKER,MSW
- Guillermo Enrique Carrasquillo II, DPM
- Paola A Carrasquillo
- Elizabeth Carreras, PSY.D
- Reinaldo Joaquin Carreras, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.