Individual provider Active NPI

Minerva Burgos, RPH

  • Pharmacist
  • Caguas, PR
National Provider Identifier
1386907277
Registry record updated Jun 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3218 Issued in PR
Practice address
Las Catalinas Mall
Zafiro 52
Caguas, PR 00725-5200
Phone
(787) 746-0020
Fax
(787) 745-0578
NPI assigned
Jun 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3218 PR Primary

Addresses

Primary practice location

Las Catalinas Mall
Zafiro 52
Caguas, PR 00725-5200

Mailing address

Las Catalinas Mall
Zafiro 52
Caguas, PR 00725-5200
Phone (787) 746-0020

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
3218PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1339891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339891200000",
    "number": "1386907277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAS CATALINAS MALL",
            "address_2": "ZAFIRO 52",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255200",
            "telephone_number": "787-746-0020",
            "fax_number": "787-745-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAS CATALINAS MALL",
            "address_2": "ZAFIRO 52",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255200",
            "telephone_number": "787-746-0020",
            "fax_number": "787-745-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "MINERVA",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-17",
        "last_updated": "2012-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3218",
            "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 Jun 17, 2012; 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.