Active NPI
Glenda Lizzette Corales
- Pharmacist
- Bayamon, PR
National Provider Identifier
1578100954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3962
- Practice address
- 167 And Number 2 Street
Bayamon, PR 00956 - Phone
- (787) 785-0411
- Fax
- (787) 785-0488
- NPI assigned
- Dec 5, 2019
- 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 | 3962 | PR | Primary |
Addresses
Primary practice location
167 And Number 2 Street
Bayamon, PR 00956
Mailing address
Urb. Flamboyan GDNS
600 Calle Marginal
Bayamon, PR 00959-5857
Phone (787) 784-0411
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 |
|---|---|---|---|
| 3962 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caribe Pharmacy Management LLC | Past | Accepting new patients | |
| Caribe Pharmacy Management LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Carolina, PR
- NPI 1194268482
-
- Community/Retail Pharmacy
- Bayamon, PR
- NPI 1831421619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1578100954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. FLAMBOYAN GDNS",
"address_2": "600 CALLE MARGINAL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009595857",
"telephone_number": "787-784-0411",
"fax_number": "787-784-0488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 AND NUMBER 2 STREET",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-785-0411",
"fax_number": "787-785-0488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORALES",
"first_name": "GLENDA",
"middle_name": "LIZZETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-05",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "3962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
- Consulta Medica Ochoa
- Consultores Psicologicos del Este, CSP
- Consultorio Medico Dr Victor a Zapata LLC
- Cooperativa de Facultad Medica Sanacoop
- Cooperativa de Grupos Medicos Primarios Ipacoop
- Francisco J Cordero-Gallardo, M.D
- Lisandra Cordero-Santiago, PHARMD.
- Morgan Leonides Cordero, M.D.
- Wilma Enid Cordero, TO
- Rita Cordova Campos, MSW ACSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.