Active NPI
Maribel Rodriguez
- Pharmacist
- Bayamon, PR
National Provider Identifier
1790996759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3966
- Practice address
- 19 St. W10 Villas de San Agustin II
Bayamon, PR 00959 - Phone
- (787) 778-0474
- NPI assigned
- May 24, 2007
- 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 | 3966 | PR | Primary |
Addresses
Primary practice location
19 St. W10 Villas de San Agustin II
Bayamon, PR 00959
Mailing address
19 St. W10 Villas de San Agustin II
Bayamon, PR 00959
Phone (787) 778-0474
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 |
|---|---|---|---|
| 3966 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790996759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 ST. W10 VILLAS DE SAN AGUSTIN II",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-778-0474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 ST. W10 VILLAS DE SAN AGUSTIN II",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-778-0474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARIBEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "3966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, 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.