Active NPI
Vanessa Peresz
- Pharmacist
- Villalba, PR
National Provider Identifier
1780808717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 077994
- Practice address
- Carr 149 Tierra Santa
Farmacia San Antonio
Villalba, PR 00766 - Phone
- (787) 847-1096
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- 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 | 077994 | PR | Primary |
Addresses
Primary practice location
Carr 149 Tierra Santa
Farmacia San Antonio
Villalba, PR 00766
Mailing address
168 Calle Roble
Estancias de Juana Diaz
Juana Diaz, PR 00795-2831
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 |
|---|---|---|---|
| 077994 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780808717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 CALLE ROBLE",
"address_2": "ESTANCIAS DE JUANA DIAZ",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "007952831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 149 TIERRA SANTA",
"address_2": "FARMACIA SAN ANTONIO",
"city": "VILLALBA",
"state": "PR",
"postal_code": "00766",
"telephone_number": "787-847-1096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERESZ",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "077994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Villalba, 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.