Active NPI
Aixa Lynn Hernandez Lassalle, PHARM D.
- Pharmacist
- Mayaguez, PR
National Provider Identifier
1356620124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5489
- Practice address
- 505 Ave Hostos
Mayaguez, PR 00680-1797 - Phone
- (787) 831-0674
- NPI assigned
- Aug 11, 2011
- Last updated
- Aug 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5489 | PR | Primary |
Addresses
Primary practice location
505 Ave Hostos
Mayaguez, PR 00680-1797
Mailing address
505 Ave Hostos
Mayaguez, PUERTO RICO 00680
UM
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 |
|---|---|---|---|
| 5489 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1356620124",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "505 AVE HOSTOS",
"city": "MAYAGUEZ",
"state": "PUERTO RICO",
"postal_code": "00680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 AVE HOSTOS",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006801797",
"telephone_number": "787-831-0674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ LASSALLE",
"first_name": "AIXA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
- Cristina Del Mar Heredia
- Elizabeth Hermina Mercado, PSYD
- Gabriela A. Hernandez Beauchamp, ND
- Elvin G. Hernandez Crespo, M.D.
- Agnelis Hernandez Cupeles, PA
- Lizaida Hernandez Lucena
- Cristina Jaasai Hernandez Prado, MD
- Aaron A Hernandez Ramirez, MD
- Natalie Hernandez-Kozma, M.D.
- Hector N Hernandez-Lopez, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.