Nelson Juan Rodriguez Menchaca, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

6884 Issued in PR

Practice address

685 Calle Cesar Gonzalez
San Juan, PR 00918-3920

Phone

(787) 294-1730

NPI assigned

May 28, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • San Juan, PR
  • NPI 1154337582
  NPD (past)
• Walgreens

  • Community/Retail Pharmacy
  • San Juan, PR
  • NPI 1790184430
  NPD (past)

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1831765064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 CALLE CESAR GONZALEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183920",
            "telephone_number": "787-294-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CALLE CESAR GONZALEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183920",
            "telephone_number": "787-294-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MENCHACA",
        "first_name": "NELSON",
        "middle_name": "JUAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR70177",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE BOARD OF PHARMACY",
            "identifier": "PR70177",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "910635",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUNTA DE FARMACIA DE PUERTO RICO",
            "identifier": "6884",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORCPS",
            "identifier": "241077",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Rodriguez Martinez
• Rodriguez Martino Medical Group LLC
• Natalia Rodriguez Martino
• Francisco Javier Rodriguez Matos
• Lymarie Rodriguez Melendez, MSW
• Wilma Rodriguez Mojica, M.D.
• Megan Dianne Rodriguez Natali
• Melanie Rodriguez Nieves, M.D.
• Luis H Rodriguez Ocasio
• Alexis Javier Rodriguez Octaviani

• Pharmacist in San Juan, PR
• Providers in San Juan, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.