Individual provider Active NPI

Angelique Mercado-Perez

  • Pharmacist
  • Fajardo, PR
National Provider Identifier
1689027393
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
02416 Issued in PR
Practice address
232 Calle Las Palmas
La Costa Apts.
Fajardo, PR 00738-5144
Phone
(787) 914-8148
NPI assigned
Jul 18, 2016
Last updated
Jul 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 02416 PR Primary

Addresses

Primary practice location

232 Calle Las Palmas
La Costa Apts.
Fajardo, PR 00738-5144

Mailing address

232 Calle Las Palmas
La Costa Apts.
Fajardo, PR 00738-5144
Phone (787) 914-8148

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

LicenseStateTypeSpecialty
02416PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1689027393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 CALLE LAS PALMAS",
            "address_2": "LA COSTA APTS.",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007385144",
            "telephone_number": "787-914-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 CALLE LAS PALMAS",
            "address_2": "LA COSTA APTS.",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007385144",
            "telephone_number": "787-914-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO-PEREZ",
        "first_name": "ANGELIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "02416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.