Active NPI
Heydimar Quinones Mora
- Pharmacist
National Provider Identifier
1477929222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6289
- Practice address
- Carr 172 Caguas a Cidra
Urb. Turabo Gardens
Caguas, FM 00725-0072 - Phone
- (787) 653-0550
- Fax
- (787) 653-0538
- NPI assigned
- Aug 17, 2015
- Last updated
- Mar 9, 2022
- 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 | 6289 | PR | Primary |
Addresses
Primary practice location
Carr 172 Caguas a Cidra
Urb. Turabo Gardens
Caguas, FM 00725-0072
Mailing address
100 Grand Paseo Blvd Ste 315
San Juan, PR 00926-6539
Phone (787) 283-2555
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 |
|---|---|---|---|
| 6289 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1477929222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GRAND PASEO BLVD STE 315",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266539",
"telephone_number": "787-283-2555",
"fax_number": "787-283-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 172 CAGUAS A CIDRA",
"address_2": "URB. TURABO GARDENS",
"city": "CAGUAS",
"state": "FM",
"postal_code": "007250072",
"telephone_number": "787-653-0550",
"fax_number": "787-653-0538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES MORA",
"first_name": "HEYDIMAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-17",
"last_updated": "2022-03-09",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.