Individual provider Active NPI

Wanda Marrero

  • Pharmacist
  • Guaynabo, PR
National Provider Identifier
1609093046
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3352 Issued in PR
Practice address
C15 Calle Isabel la Catolica
Mansiones Reales
Guaynabo, PR 00969-5268
Phone
(787) 708-5192
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3352 PR Primary

Addresses

Primary practice location

C15 Calle Isabel la Catolica
Mansiones Reales
Guaynabo, PR 00969-5268

Mailing address

C15 Calle Isabel la Catolica
Mansiones Reales
Guaynabo, PR 00969-5268
Phone (787) 708-5192

Other identifiers 1

IdentifierTypeStateIssuer
3352OtherPRPHARMACIST

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

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609093046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C15 CALLE ISABEL LA CATOLICA",
            "address_2": "MANSIONES REALES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695268",
            "telephone_number": "787-708-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C15 CALLE ISABEL LA CATOLICA",
            "address_2": "MANSIONES REALES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695268",
            "telephone_number": "787-708-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "WANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "3352",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, 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.

Verify at the official NPI Registry.