Individual provider Active NPI

Carlos Stephen Martinez Cosme, PHARMD

  • Pharmacist
  • Comerio, PR
National Provider Identifier
1265997670
Registry record updated Feb 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6614 Issued in PR
Practice address
18 Calle Georgetti
Comerio, PR 00782-2539
Phone
(787) 875-3375
NPI assigned
Feb 10, 2019
Last updated
Feb 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6614 PR Primary

Addresses

Primary practice location

18 Calle Georgetti
Comerio, PR 00782-2539

Mailing address

HC 73 Box 4748
Naranjito, PR 00719-9241
Phone (787) 453-6929

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

LicenseStateTypeSpecialty
6614PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1549756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549756800000",
    "number": "1265997670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 73 BOX 4748",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007199241",
            "telephone_number": "787-453-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CALLE GEORGETTI",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "007822539",
            "telephone_number": "787-875-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ COSME",
        "first_name": "CARLOS",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-10",
        "last_updated": "2019-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comerio, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2019; 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.