Individual provider Active NPI

Julio E Moro

  • Pharmacist
  • San Sebastian, PR
National Provider Identifier
1356902514
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
004879 Issued in PR
Practice address
3 Urb Raholisa GDNS
San Sebastian, PR 00685-2415
Phone
(787) 943-0045
NPI assigned
Jun 27, 2019
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 004879 PR Primary

Addresses

Primary practice location

3 Urb Raholisa GDNS
San Sebastian, PR 00685-2415

Mailing address

3 Urb Raholisa GDNS
San Sebastian, PR 00685-2415
Phone (787) 943-0045

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
004879PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
WL Pharmacy Corp CurrentSince Sep 6, 2020 Accepting new patients

Locations

3 Urb Raholisa Gdns
San Sebastian, PR 00685
Phone (787) 896-2080

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1356902514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 URB RAHOLISA GDNS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852415",
            "telephone_number": "787-943-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 URB RAHOLISA GDNS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852415",
            "telephone_number": "787-943-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORO",
        "first_name": "JULIO",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "004879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 27, 2019; 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.