Active NPI
Sandra Melendez-Tirado
- Pharmacist
- Humacao, PR
National Provider Identifier
1205373230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6406
- Practice address
- 121 Calle Cruz Ortiz Stella S
Street
Humacao, PR 00791-3727 - Phone
- (787) 285-0810
- Fax
- (787) 285-2664
- NPI assigned
- Jan 29, 2017
- Last updated
- Jan 29, 2017
- 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 | 6406 | PR | Primary |
Addresses
Primary practice location
121 Calle Cruz Ortiz Stella S
Street
Humacao, PR 00791-3727
Mailing address
HC 1 Box 4464
Yabucoa, PR 00767-9643
Phone (939) 247-3193
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 |
|---|---|---|---|
| 6406 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1485648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485648000000",
"number": "1205373230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 4464",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007679643",
"telephone_number": "939-247-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 CALLE CRUZ ORTIZ STELLA S",
"address_2": "STREET",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007913727",
"telephone_number": "787-285-0810",
"fax_number": "787-285-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ-TIRADO",
"first_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-29",
"last_updated": "2017-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.