Active NPI
Aiza Y Perez, FPH
- Pharmacist
- Moca, PR
National Provider Identifier
1386742344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4648
- Practice address
- 124 Calle Concepcion Vera
Bo Pueblo
Moca, PR 00676-4813 - Phone
- (787) 877-0110
- Fax
- (787) 877-0110
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4648 | PR | Primary |
Addresses
Primary practice location
124 Calle Concepcion Vera
Bo Pueblo
Moca, PR 00676-4813
Mailing address
PO Box 57
Moca, PR 00676-0057
Phone (787) 375-0430
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 |
|---|---|---|---|
| 4648 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmacia la 110 | Pharmacist | Current | Accepting new patients |
| Aiza Y Perez Caban | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacist
- Moca, PR
- NPI 1124694658
-
- Community/Retail Pharmacy
- Moca, PR
- NPI 1841364239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1386742344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57",
"city": "MOCA",
"state": "PR",
"postal_code": "006760057",
"telephone_number": "787-375-0430",
"fax_number": "787-818-4307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 CALLE CONCEPCION VERA",
"address_2": "BO PUEBLO",
"city": "MOCA",
"state": "PR",
"postal_code": "006764813",
"telephone_number": "787-877-0110",
"fax_number": "787-877-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "AIZA",
"middle_name": "Y",
"credential": "FPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moca, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.