Jessica Caquias, RPH
Individual provider Active NPI Pharmacist · Mayaguez, PR
NPI 1457570285 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457570285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4775 (PR)
- Practice address
- 104 Este
St.Ramos Antonini
Mayaguez, PR 00680 - Phone
- (939) 717-4139
- Fax
- (787) 832-3284
- NPI assigned
- Apr 24, 2007
- 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4775 | PR | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4775 | PR | Yes |
Addresses
Primary practice location
104 Este
St.Ramos Antonini
Mayaguez, PR 00680
Mailing address
PO Box 1342
Yauco, PR 00698
Phone (939) 717-4139
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.