Active NPI
Withberto Lanzo
- Pharmacist
- San Juan, PR
National Provider Identifier
1700913530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3609
- Practice address
- 400 Ave Domenech
San Juan, PR 00918-3710 - Phone
- (787) 751-5366
- Fax
- (787) 250-1869
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- 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 | 3609 | PR | Primary |
Addresses
Primary practice location
400 Ave Domenech
San Juan, PR 00918-3710
Mailing address
JK6 Calle 241
Country Club
Carolina, PR 00982-2735
Phone (787) 768-5877
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 |
|---|---|---|---|
| 3609 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700913530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JK6 CALLE 241",
"address_2": "COUNTRY CLUB",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009822735",
"telephone_number": "787-768-5877",
"fax_number": "787-250-1869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 AVE DOMENECH",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183710",
"telephone_number": "787-751-5366",
"fax_number": "787-250-1869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANZO",
"first_name": "WITHBERTO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "3609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.