Active NPI
Esteban Resto-Roldan
- Pharmacist
- Yabucoa, PR
National Provider Identifier
1548703465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6443
- Practice address
- 302 Carr Ernesto Carrasquillo
Yabucoa, PR 00767-3948 - Phone
- (787) 893-4410
- NPI assigned
- Nov 25, 2016
- Last updated
- Nov 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 6443 | PR | Primary |
Addresses
Primary practice location
302 Carr Ernesto Carrasquillo
Yabucoa, PR 00767-3948
Mailing address
PO Box 631
Caguas, PR 00726-0631
Phone (787) 429-3584
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 |
|---|---|---|---|
| 6443 | PR | MD | Geriatric Psychiatry Physician |
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": "1480032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480032000000",
"number": "1548703465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007260631",
"telephone_number": "787-429-3584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 CARR ERNESTO CARRASQUILLO",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007673948",
"telephone_number": "787-893-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESTO-ROLDAN",
"first_name": "ESTEBAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-25",
"last_updated": "2016-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yabucoa, PR
- Miliangeli Ramos, TS
- Reliable Health Services, Corp. (CDT Yabucoa)
- Reliable Health Services, Corp. (CDT Yabucoa)
- Reliable Health Services, Corp. (CDT Yabucoa)
- Reliable Health Services, Corp. (CDT Yabucoa)
- Omar Rivera Mojica, O.D.
- Camibi A Rivera Sanfiorenzo, DMD
- Sherly Ann Rivera-Burgos
- Kiaraliz Rivera, RDN
- Luis B Rivera
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.