Individual provider Active NPI

Maria de Lourdes Perez Quinones, PHARM.D.

  • Pharmacist
  • West Palm Beach, FL
National Provider Identifier
1770026304
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS59565 Issued in FL
Practice address
818 Southern Blvd
West Palm Beach, FL 33405-2530
Phone
(787) 923-6963
NPI assigned
Nov 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6454 PR
Pharmacist 183500000X PS59565 FL Primary

Addresses

Primary practice location

818 Southern Blvd
West Palm Beach, FL 33405-2530

Mailing address

1551 N Flagler Dr
West Palm Beach, FL 33401-3438
Phone (787) 923-6963

Other practice location 1

9410 Los Romeros Ave
Montehiedra Town Center
San Juan, PR 00926
Phone (787) 923-6963

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS59565FLMDPharmacist
6454PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1770026304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 N FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013438",
            "telephone_number": "787-923-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SOUTHERN BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334052530",
            "telephone_number": "787-923-6963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9410 LOS ROMEROS AVE",
            "address_2": "MONTEHIEDRA TOWN CENTER",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "country_code": "US",
            "telephone_number": "787-923-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ QUINONES",
        "first_name": "MARIA DE LOURDES",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6454",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS59565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.