Individual provider Active NPI

Berbelyze Nomar Vega Gonzalez, PHAM.D.

  • Pharmacist
  • Carolina, PR
National Provider Identifier
1629682364
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6604 Issued in PR
Practice address
128 Calle Luna
Carolina, PR 00979-1705
Phone
(787) 791-5757
NPI assigned
Sep 1, 2020
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6604 PR Primary

Addresses

Primary practice location

128 Calle Luna
Carolina, PR 00979-1705

Mailing address

668 Calle Cubita
Los Frailes Industrial Park
Guaynabo, PR 00969
Phone (787) 787-7733

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

LicenseStateTypeSpecialty
6604PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Caribe Pharmacy Holdings, LLC CurrentSince Jul 24, 2022 Accepting new patients
Caribe Pharmacy Management LLC CurrentSince Dec 18, 2022 Accepting new patients

Locations

128 Calle Luna
Carolina, PR 00979
Phone (787) 791-5757

668 Calle Cubitas
Guaynabo, PR 00969
Phone (787) 787-7733

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, 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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1629682364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 CALLE CUBITA",
            "address_2": "LOS FRAILES INDUSTRIAL PARK",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-787-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CALLE LUNA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009791705",
            "telephone_number": "787-791-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA GONZALEZ",
        "first_name": "BERBELYZE",
        "middle_name": "NOMAR",
        "name_prefix": "Dr.",
        "credential": "PHAM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.