Carmen Maria Peterson

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

004289 Issued in PR

Practice address

9 Calle Igualdad
Fajardo, PR 00738

Phone

(787) 863-1880

Fax

(787) 860-6464

NPI assigned

May 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caribe Pharmacy Management LLC

  • Community/Retail Pharmacy
  • Carolina, PR
  • NPI 1194268482
  NPD (past)
• Caribe Pharmacy Management LLC

  • Community/Retail Pharmacy
  • Fajardo, PR
  • NPI 1831428853
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1376117010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CALLE IGUALDAD",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-863-1880",
            "fax_number": "787-860-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CALLE IGUALDAD",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-863-1880",
            "fax_number": "787-860-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CARMEN",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "004289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Axel Heriberto Perez
• Hector E Perez, MEDICAL TECHNOLOGYST
• Javier J Perez, MD
• Maria L Perez, M.D.
• Zaida Perez, MD
• Reynaldo Pezzotti Alvarez, M.D.
• Hector Efrain Pimentel
• Ivelisse Pinero Rivera, MS,SLP,CCPLSVT,BOM
• Luis Enrique Pita, D.M.D.
• Danalys Pizarro Pagan

• Pharmacy Technician in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Pharmacy Technician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.