Active NPI
Glorielle Quesada, PHARMD.
- Pharmacist
- Ponce, PR
National Provider Identifier
1356538482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5263
- Practice address
- 108 Calle Victoria
Ponce, PR 00730-3767 - Phone
- (787) 259-5233
- Fax
- (787) 848-0858
- NPI assigned
- Oct 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5263 | PR | Primary |
| Pharmacist | 183500000X | PS42920 | FL |
Addresses
Primary practice location
108 Calle Victoria
Ponce, PR 00730-3767
Mailing address
108 Calle Victoria
Ponce, PR 00730-3767
Phone (787) 259-5233
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS42920 | FL | MD | Pharmacist |
| 5263 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1356538482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CALLE VICTORIA",
"city": "PONCE",
"state": "PR",
"postal_code": "007303767",
"telephone_number": "787-259-5233",
"fax_number": "787-848-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 CALLE VICTORIA",
"city": "PONCE",
"state": "PR",
"postal_code": "007303767",
"telephone_number": "787-259-5233",
"fax_number": "787-848-0858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUESADA",
"first_name": "GLORIELLE",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-02",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5263",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42920",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.