Etsy Lidia Bermudez, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

4092 Issued in PR

Practice address

94 Calle Duque
Guayama, PR 00784-5658

Phone

(787) 864-0116

NPI assigned

Apr 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Farmacia San Carlos Inc

  dba Farmacia San Carlos

  • Community/Retail Pharmacy
  • Guayama, PR
  • NPI 1265553812
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306967963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007230207",
            "telephone_number": "787-271-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 CALLE DUQUE",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007845658",
            "telephone_number": "787-864-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "ETSY",
        "middle_name": "LIDIA",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalia Soleivy Baez, MSW
• Harold William Bastian Vega, MD
• Harold S Bastian
• Geraldine Enid Batista Irizarry, MD
• Olga W. Bermudez Ramirez, M.D.
• Virginia Berrios, M.D.
• Best Medical Equipment Corp
• Bio-Medical Applications of Guayama, Inc. (Fresenius Medical Care Guayama Dialysis)
• Bio-Medical Applications of Puerto Rico Inc (Fresenius Medical Care Santa Rosa Dialysis)
• Melissa Blasini, MSW

• Pharmacist in Guayama, PR
• Providers in Guayama, PR by specialty
• Pharmacist in Puerto Rico

• 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.