Individual provider Active NPI

Nilda I Cancel Marin, RPH

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1629221809
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3375 Issued in PR
Practice address
205 Calle Federico Costa
Suite 103
San Juan, PR 00918-1310
Phone
(787) 523-1000
Fax
(787) 523-1004
NPI assigned
Oct 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3375 PR Primary

Addresses

Primary practice location

205 Calle Federico Costa
Suite 103
San Juan, PR 00918-1310

Mailing address

205 Calle Federico Costa
Suite 103
San Juan, PR 00918-1310
Phone (787) 523-1000

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
3375PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1629221809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CALLE FEDERICO COSTA",
            "address_2": "SUITE 103",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181310",
            "telephone_number": "787-523-1000",
            "fax_number": "787-523-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CALLE FEDERICO COSTA",
            "address_2": "SUITE 103",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181310",
            "telephone_number": "787-523-1000",
            "fax_number": "787-523-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCEL MARIN",
        "first_name": "NILDA",
        "middle_name": "I",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.