Active NPI
Carmen L Tirado
- Pharmacist
- Cayey, PR
National Provider Identifier
1659665784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3120
- Practice address
- 5800 Ave Jesus T Pinero
Cayey, PR 00736-5583 - Phone
- (787) 263-5166
- Fax
- (787) 263-0081
- NPI assigned
- Jun 7, 2011
- Last updated
- Jun 7, 2011
- 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 | 3120 | PR | Primary |
Addresses
Primary practice location
5800 Ave Jesus T Pinero
Cayey, PR 00736-5583
Mailing address
Naboria E-40
Urb. Caguax
Caguas,, PR 00725
UM
Phone (939) 640-2346
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3120 | 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, 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": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1659665784",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "NABORIA E-40",
"address_2": "URB. CAGUAX",
"city": "CAGUAS,",
"state": "PR",
"postal_code": "00725",
"telephone_number": "939-640-2346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 AVE JESUS T PINERO",
"city": "CAYEY",
"state": "PR",
"postal_code": "007365583",
"telephone_number": "787-263-5166",
"fax_number": "787-263-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRADO",
"first_name": "CARMEN",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "3120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.