Active NPI
Iliamari Plaza Rodriguez
- Pharmacist
- Toa Baja, PR
National Provider Identifier
1730636127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5239
- Practice address
- 165 Carr 2
Bo Media Luna
Toa Baja, PR 00959 - Phone
- (787) 641-5650
- Fax
- (787) 230-7150
- NPI assigned
- Sep 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 5239 | PR | Primary |
Addresses
Primary practice location
165 Carr 2
Bo Media Luna
Toa Baja, PR 00959
Mailing address
165 Carr 2
Int Bo Media Luna
Toa Baja, PR 00959-0000
Phone (787) 641-5650
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 |
|---|---|---|---|
| 5239 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1730636127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 CARR 2",
"address_2": "INT BO MEDIA LUNA",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009590000",
"telephone_number": "787-641-5650",
"fax_number": "787-230-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 CARR 2",
"address_2": "BO MEDIA LUNA",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-641-5650",
"fax_number": "787-230-7150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAZA RODRIGUEZ",
"first_name": "ILIAMARI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-02",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.