Active NPI
Luz Marina Puerta, PHARMD
- Pharmacist
- Guaynabo, PR
National Provider Identifier
1811214034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5358
- Practice address
- Ave FD Roosevelt
Walgreens of San Patricio
Guaynabo, PR 00968-2736 - Phone
- (787) 792-3725
- Fax
- (787) 774-0555
- NPI assigned
- Apr 27, 2010
- 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 | 5358 | PR | Primary |
Addresses
Primary practice location
Ave FD Roosevelt
Walgreens of San Patricio
Guaynabo, PR 00968-2736
Mailing address
PO Box 366656
San Juan, PR 00936-6656
Phone (787) 792-3725
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5358 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1811214034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 366656",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009366656",
"telephone_number": "787-792-3725",
"fax_number": "787-774-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE FD ROOSEVELT",
"address_2": "WALGREENS OF SAN PATRICIO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009682736",
"telephone_number": "787-792-3725",
"fax_number": "787-774-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUERTA",
"first_name": "LUZ MARINA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-27",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
- Provider Network Solutions of Puerto Rico LLC
- Provider Network Solutions of Puerto Rico LLC
- Provider Network Solutions of Puerto Rico LLC
- Psycalma LLC
- Pueblo Inc
- Puerto Rico Case Management Corp.
- Puerto Rico Case Manegement Corp
- Puerto Rico Case Manegement Corp
- Puerto Rico Case Manegement Corp
- Puerto Rico Citylabs LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.