Individual provider Active NPI

Andres Damiani-Rivera, RPH

  • Pharmacist
  • Caguas, PR
National Provider Identifier
1679184659
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4677 Issued in PR
Practice address
47 Calle Ruiz Belvis
Caguas, PR 00725-3510
Phone
(787) 467-3497
NPI assigned
Aug 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 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 4677 PR Primary

Addresses

Primary practice location

47 Calle Ruiz Belvis
Caguas, PR 00725-3510

Mailing address

24 Urb la Serrania
Caguas, PR 00725-1801
Phone (787) 467-3497

Other identifiers 1

IdentifierTypeStateIssuer
30700022OtherPREMPLOYEE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Caguas Direct

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
4677PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1679184659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 URB LA SERRANIA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251801",
            "telephone_number": "787-467-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CALLE RUIZ BELVIS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253510",
            "telephone_number": "787-467-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIANI-RIVERA",
        "first_name": "ANDRES",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE NUMBER",
            "identifier": "30700022",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Caguas",
            "affiliation": "N",
            "endpointDescription": "Mi Farmacia Dominguez",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24 Urb. La serrania",
            "city": "Caguas",
            "state": "Puerto Rico",
            "country_code": "UM",
            "postal_code": "00725",
            "country_name": "United States Minor Outlying Islands",
            "address_type": "FGN"
        }
    ],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.