Miriam Alicea Calderin, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

2485 Issued in PR

Practice address

375 Calle Dr Vidal E
Humacao, PR 00791-3993

Phone

(787) 852-9494

Fax

(787) 850-7811

NPI assigned

Jan 2, 2020

Last updated

Jan 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Farmacia San Jose Humacao LLC

  dba Farmacia San Jose

  • Community/Retail Pharmacy
  • Humacao, PR
  • NPI 1396886693
  NPD (past)

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1639718190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 CALLE DR VIDAL E",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913993",
            "telephone_number": "787-852-9494",
            "fax_number": "787-850-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 CALLE DR VIDAL E",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913993",
            "telephone_number": "787-852-9494",
            "fax_number": "787-850-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA CALDERIN",
        "first_name": "MIRIAM",
        "name_prefix": "Mrs.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "2485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tufarmaciasanjose,com",
            "affiliation": "N",
            "endpointDescription": "info and contact info",
            "address_1": "375 Calle Dr Vidal E",
            "city": "Humacao",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007913993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tufarmaciasanjose.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy inforrmation and contac info",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "info and contact info",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info and contact info",
            "address_1": "375 Calle Dr Vidal E",
            "city": "Humacao",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007913993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alcides Oquendo Solis (Laboratorio Clinico Central)
• Alcides Oquendo Solis (Laboratorio Central 2)
• Stephanie M Alemar Aquino, DPT
• Elba Hilda Algarin, MD
• Jessica Alicea Barriera, OPTICO LICENCIADO
• Miriam Noelia Alicea-Rodriguez, MD
• Myriam Zahydee Allende-Vigo, MD
• Angel A. Alonso Santos, MD
• Ricardo Javier Alvarado Arriaga
• Iliana Alvarado-Diaz, O.D.

• Pharmacist in Humacao, PR
• Providers in Humacao, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.