Active NPI
Ilia Correa
- Pharmacist
- San Juan, PR
National Provider Identifier
1245352129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1779
- Practice address
- Almacen de Farmacia, Centro Medico
San Juan, PR 00922-2129 - Phone
- (787) 777-3535
- Fax
- (787) 777-2799
- NPI assigned
- Apr 4, 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 | 1779 | PR | Primary |
Addresses
Primary practice location
Almacen de Farmacia, Centro Medico
San Juan, PR 00922-2129
Mailing address
Acadia St #N56A, Park Gardens
San Juan, PR 00926
Phone (787) 755-3039
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 |
|---|---|---|---|
| 1779 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245352129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ACADIA ST #N56A, PARK GARDENS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-755-3039",
"fax_number": "787-777-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALMACEN DE FARMACIA, CENTRO MEDICO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009222129",
"telephone_number": "787-777-3535",
"fax_number": "787-777-2799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA",
"first_name": "ILIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "1779",
"primary": true
}
],
"identifiers": [],
"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.