Active NPI
Kasandra Rodriguez
- Pharmacist
- Caguas, PR
National Provider Identifier
1396283792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6216
- Practice address
- Carr 1 KM 28.7
Bo Rio Canas
Caguas, PR 00726 - Phone
- (787) 653-7984
- Fax
- (888) 879-9110
- NPI assigned
- Feb 6, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 6216 | PR | Primary |
Addresses
Primary practice location
Carr 1 KM 28.7
Bo Rio Canas
Caguas, PR 00726
Mailing address
2052 F de Rojas
El Senorial
San Juan, PR 00976
Phone (787) 640-2089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6216 | Other | PR | STATE LICENSE |
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 |
|---|---|---|---|
| 6216 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1396283792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2052 F DE ROJAS",
"address_2": "EL SENORIAL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-640-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 1 KM 28.7",
"address_2": "BO RIO CANAS",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00726",
"telephone_number": "787-653-7984",
"fax_number": "888-879-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "KASANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-06",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "6216",
"state": "PR"
}
],
"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 Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.