Individual provider Active NPI

Grissel I Acaba Carrion, LCDA

  • Pharmacist
  • San Sebastian, PR
National Provider Identifier
1295876381
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
003730 Issued in PR
Practice address
Migrant Health Center, Inc.
Bo Piedras Blancas Carr 119 KM 35.2
San Sebastian, PR 00685
Phone
(787) 896-1665
Fax
(787) 896-1690
NPI assigned
Feb 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 003730 PR Primary

Addresses

Primary practice location

Migrant Health Center, Inc.
Bo Piedras Blancas Carr 119 KM 35.2
San Sebastian, PR 00685

Mailing address

Migrant Health Center, Inc
P O Box 7128
Mayaguez, PR 00681-7128
Phone (787) 805-2900

Other identifiers 1

IdentifierTypeStateIssuer
051357OtherPRNUMERO DE REGISTRO

Other names 1

  • Mrs. Grissel I Acaba Carrion Professional 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
003730PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295876381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MIGRANT HEALTH CENTER, INC",
            "address_2": "P O BOX 7128",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006817128",
            "telephone_number": "787-805-2900",
            "fax_number": "787-834-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MIGRANT HEALTH CENTER, INC.",
            "address_2": "BO PIEDRAS BLANCAS CARR 119 KM 35.2",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-896-1665",
            "fax_number": "787-896-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRION",
        "first_name": "GRISSEL I",
        "middle_name": "ACABA",
        "name_prefix": "Mrs.",
        "credential": "LCDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "003730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUMERO DE REGISTRO",
            "identifier": "051357",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRISSEL I",
            "last_name": "CARRION",
            "middle_name": "ACABA",
            "prefix": "MRS.",
            "credential": "LCDA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Sebastian, 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.