Individual provider Active NPI

Graciela Victoria Laureano-Ruiz, PHARMD

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1467118141
Registry record updated Mar 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6911 Issued in PR
Practice address
2016 Ave Borinquen
San Juan, PR 00915-3823
Phone
(787) 919-6931
NPI assigned
Nov 16, 2021
Last updated
Mar 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6911 PR Primary

Addresses

Primary practice location

2016 Ave Borinquen
San Juan, PR 00915-3823

Mailing address

418 Calle Tulane
Vega Baja, PR 00693-3608
Phone (787) 585-4731

Other identifiers 1

IdentifierTypeStateIssuer
6174424OtherPRLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rxm.00936@store.walgreens.com Direct

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
6911PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679788800000",
    "number": "1467118141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CALLE TULANE",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933608",
            "telephone_number": "787-585-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 AVE BORINQUEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153823",
            "telephone_number": "787-919-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUREANO-RUIZ",
        "first_name": "GRACIELA",
        "middle_name": "VICTORIA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6174424",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.00936@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Boulevard Dr",
            "city": "Bayamon",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009596755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; 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.