Individual provider Active NPI

Lilia I Calderon

  • Pharmacist
  • Carolina, PR
National Provider Identifier
1295892560
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3716 Issued in PR
Practice address
603 Blvd Media Luna
Terrazas de Parque Escorial
Carolina, PR 00987-6613
Phone
(787) 752-5111
NPI assigned
Jan 3, 2007
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 3716 PR Primary

Addresses

Primary practice location

603 Blvd Media Luna
Terrazas de Parque Escorial
Carolina, PR 00987-6613

Mailing address

603 Blvd Media Luna
Terrazas de Parque Escorial
Carolina, PR 00987-6613
Phone (787) 752-5111

Other identifiers 1

IdentifierTypeStateIssuer
1779815OtherPRDRIVERS LICENSE

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
3716PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295892560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 BLVD MEDIA LUNA",
            "address_2": "TERRAZAS DE PARQUE ESCORIAL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009876613",
            "telephone_number": "787-752-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 BLVD MEDIA LUNA",
            "address_2": "TERRAZAS DE PARQUE ESCORIAL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009876613",
            "telephone_number": "787-752-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "LILIA",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "1779815",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, 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.