Active NPI
Carla Ivette Perez, PHARM. D.
- Pharmacist
- Ponce, PR
National Provider Identifier
1609232818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6325
- Practice address
- 2706 Ave Maruca
Ponce, PR 00728-4103 - Phone
- (787) 812-5978
- Fax
- (787) 812-5966
- NPI assigned
- Jan 5, 2016
- 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 | 6325 | PR | Primary |
Addresses
Primary practice location
2706 Ave Maruca
Ponce, PR 00728-4103
Mailing address
2706 Ave Maruca
Ponce, PR 00728-4103
Phone (787) 812-5978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 865 | Other | PR | IMMUNIZATION CERTIFICATE |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6325 | PR | MD | Pharmacist |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1609232818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 AVE MARUCA",
"city": "PONCE",
"state": "PR",
"postal_code": "007284103",
"telephone_number": "787-812-5978",
"fax_number": "787-812-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 AVE MARUCA",
"city": "PONCE",
"state": "PR",
"postal_code": "007284103",
"telephone_number": "787-812-5978",
"fax_number": "787-812-5966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "CARLA",
"middle_name": "IVETTE",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-05",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMMUNIZATION CERTIFICATE",
"identifier": "865",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.