Individual provider Active NPI

Nanix Marie Perez Gonzalez

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1275111072
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5118 Issued in PR
Practice address
1500 Ave. San Ignacio Apt 84
Cond. Balcones de Santa Maria
San Juan, PR 00921
Phone
(787) 934-0077
NPI assigned
Apr 1, 2021
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5118 PR Primary

Addresses

Primary practice location

1500 Ave. San Ignacio Apt 84
Cond. Balcones de Santa Maria
San Juan, PR 00921

Mailing address

1500 Ave. San Ignacio Apt 84
Cond. Balcones de Santa Maria
San Juan, PR 00921
Phone (787) 934-0077

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

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1275111072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 AVE. SAN IGNACIO APT 84",
            "address_2": "COND. BALCONES DE SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-934-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 AVE. SAN IGNACIO APT 84",
            "address_2": "COND. BALCONES DE SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-934-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ GONZALEZ",
        "first_name": "NANIX",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "5118",
            "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 Apr 1, 2021; 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.