Active NPI
Bertha Milagros Vicente
- Pharmacist
- Arecibo, PR
National Provider Identifier
1548471824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1893
- Practice address
- Ave Miramar
Carr. #2 KM 78.7
Arecibo, PR 00614 - Phone
- (787) 878-5757
- Fax
- (787) 817-3757
- NPI assigned
- May 25, 2007
- 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 | 1893 | PR | Primary |
Addresses
Primary practice location
Ave Miramar
Carr. #2 KM 78.7
Arecibo, PR 00614
Mailing address
PO Box 2552
Vega Baja, PR 00694-2552
Phone (787) 249-0406
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 |
|---|---|---|---|
| 1893 | PR | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548471824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2552",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006942552",
"telephone_number": "787-249-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE MIRAMAR",
"address_2": "CARR. #2 KM 78.7",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00614",
"telephone_number": "787-878-5757",
"fax_number": "787-817-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICENTE",
"first_name": "BERTHA",
"middle_name": "MILAGROS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "1893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.