Carmen Milagros De Jesus
Individual provider Active NPI Pharmacist · Naranjito, PR
NPI 1386931368 · NPPES record last updated Jun 29, 2011
Key facts
- NPI
- 1386931368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5122 (PR)
- Practice address
- Centro Mercado Plaza Carr 152 KM 16.0
Naranjito, PR 00719 - Phone
- (787) 869-0240
- NPI assigned
- Jun 29, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5122 | PR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5122 | PR | Yes |
Addresses
Primary practice location
Centro Mercado Plaza Carr 152 KM 16.0
Naranjito, PR 00719
Mailing address
Centro Mercado Plaza Carr 152 KM 16.0
Naranjito, PR 00719-3809
Phone (787) 869-0240
Other providers in Naranjito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.