Active NPI
Ana Rita Medina-Bravo, PHARMD
- Pharmacist
- San Juan, PR
National Provider Identifier
1265812291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R2505
- Practice address
- 10 Calle Casia
San Juan, PR 00921-3200 - Phone
- (787) 641-7582
- NPI assigned
- Jun 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | R2505 | NH | Primary |
| Pharmacist | 183500000X | PH235149 | MA | |
| Pharmacist | 183500000X | 23187 | NC | |
| Pharmacist | 183500000X | 0202212037 | VA |
Addresses
Primary practice location
10 Calle Casia
San Juan, PR 00921-3200
Mailing address
E2 Calle Tulipan
Estancias de Bairoa
Caguas, PR 00727-1262
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 |
|---|---|---|---|
| PH235149 | MA | MD | Pharmacist |
| 23187 | NC | MD | Pharmacist |
| R2505 | NH | MD | Pharmacist |
| 0202212037 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1265812291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E2 CALLE TULIPAN",
"address_2": "ESTANCIAS DE BAIROA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007271262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE CASIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213200",
"telephone_number": "787-641-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA-BRAVO",
"first_name": "ANA",
"middle_name": "RITA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-04",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R2505",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH235149",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23187",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202212037",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Eduardo J Medina Parrilla, MD
- Mariola B Medina Rodriguez
- Yashira Anais Medina Roman, MD
- Nadja Laura Medina Torres, M.S.-SLP
- Adrian Jose Medina Wezer, MD STUDENT
- Patricia I Medina-Rivera, PHARM. D
- Roberto Medina-Rivera, R.PH.
- Darysa Medina-Santiago, PH.D., MCR
- Israel Medina-Tanco, SW
- Aida Eugenia Medina, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.