Active NPI
Eniliz Eileen Gerena Carrillo, PHARMD
- Pharmacist
- Isabela, PR
National Provider Identifier
1386283505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 006172
- Practice address
- 270 Calle Las Uvas
Isabela, PR 00662 - Phone
- (787) 207-7296
- NPI assigned
- Jan 6, 2020
- Last updated
- Jan 6, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS51666 | FL | |
| Pharmacist | 183500000X | 006172 | PR | Primary |
Addresses
Primary practice location
270 Calle Las Uvas
Isabela, PR 00662
Mailing address
PO Box 535
San Sebastian, PR 00685-0535
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eniliz_421@outlook.com |
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 |
|---|---|---|---|
| PS51666 | FL | MD | Pharmacist |
| 006172 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1386283505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 535",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006850535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 CALLE LAS UVAS",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "787-207-7296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERENA CARRILLO",
"first_name": "ENILIZ",
"middle_name": "EILEEN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-06",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS51666",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "006172",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eniliz_421@outlook.com",
"affiliation": "N",
"address_1": "270 Calle Las Uvas",
"city": "Isabela",
"state": "PR",
"country_code": "US",
"postal_code": "00662",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Isabela, PR
- Andres A Fuentes Lazzarini, D.C.
- G&C Health Group P.S.C
- G&V Ambulance Service Inc
- G4 Medical of Puerto Rico, Inc
- Evelyn Garcia Garcia, PSYD
- Gilberto Rodrguez (Fast Health Care Ambulance)
- Gilberto Rodriguez (RH Medical Transport)
- Gilberto Rodriguez Rozada (Fast Helathcare Transport)
- Paola Naomi Gines Velez
- Adrian Girald-Rosa, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.