Active NPI
Myriam Daisy Perez, PHARMACIST
- Community/Retail Pharmacy
- Caguas, PR
National Provider Identifier
1366562175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 08-F-2243
- Practice address
- Ave Degetau
117 Farmacia Bonneville
Caguas, PR 00725-5819 - Phone
- (787) 746-4778
- Fax
- (787) 746-4778
- NPI assigned
- Mar 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 08-F-2243 | PR | Primary |
Addresses
Primary practice location
Ave Degetau
117 Farmacia Bonneville
Caguas, PR 00725-5819
Mailing address
PO Box 5464
Caguas, PR 00726-5464
Phone (787) 746-4778
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
| License | State | Type | Specialty |
|---|---|---|---|
| 08-F-2243 | PR | MD | Community/Retail Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366562175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5464",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007265464",
"telephone_number": "787-746-4778",
"fax_number": "787-746-4778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE DEGETAU",
"address_2": "117 FARMACIA BONNEVILLE",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007255819",
"telephone_number": "787-746-4778",
"fax_number": "787-746-4778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MYRIAM",
"middle_name": "DAISY",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PR",
"license": "08-F-2243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, 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.