Individual provider Active NPI

Lourdes Elena Marrero I

  • Pharmacist
  • Bayamon, PR
National Provider Identifier
1245369560
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3663 Issued in PR
Practice address
D32 Calle Marginal
Extencion Forest Hills
Bayamon, PR 00959-5555
Phone
(787) 620-9602
Fax
(787) 786-0591
NPI assigned
Mar 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3663 PR Primary

Addresses

Primary practice location

D32 Calle Marginal
Extencion Forest Hills
Bayamon, PR 00959-5555

Mailing address

147 Vista de la Bahia
Panorama Village
Bayamon, PR 00957-4404
Phone (787) 279-3674

Other names 1

  • Prof. Lourdes Elena Marrero Former name

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

LicenseStateTypeSpecialty
3663PRMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245369560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 VISTA DE LA BAHIA",
            "address_2": "PANORAMA VILLAGE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009574404",
            "telephone_number": "787-279-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D32 CALLE MARGINAL",
            "address_2": "EXTENCION FOREST HILLS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595555",
            "telephone_number": "787-620-9602",
            "fax_number": "787-786-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "LOURDES",
        "middle_name": "ELENA",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOURDES",
            "last_name": "MARRERO",
            "middle_name": "ELENA",
            "prefix": "PROF.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bayamon, 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.

Verify at the official NPI Registry.