Active NPI
Olga Domenech
- Pharmacist
- Guaynabo, PR
National Provider Identifier
1366784944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1532
- Practice address
- Pisos de Caparra
14 Calle Milan Apt. 4C
Guaynabo, PR 00966-1917 - Phone
- (787) 436-5905
- NPI assigned
- Mar 21, 2013
- 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 | 1532 | PR | Primary |
Addresses
Primary practice location
Pisos de Caparra
14 Calle Milan Apt. 4C
Guaynabo, PR 00966-1917
Mailing address
Pisos de Caparra
14 Calle Milan Apt. 4C
Guaynabo, PR 00966-1917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZUA0012345817414 | Other | PR | TRIPLE-S SALUD |
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 |
|---|---|---|---|
| 1532 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1366784944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PISOS DE CAPARRA",
"address_2": "14 CALLE MILAN APT. 4C",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009661917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PISOS DE CAPARRA",
"address_2": "14 CALLE MILAN APT. 4C",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009661917",
"telephone_number": "787-436-5905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMENECH",
"first_name": "OLGA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "1532",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S SALUD",
"identifier": "ZUA0012345817414",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.