Active NPI
Hildeliza Perez
- Pharmacist
- Bayamon, PR
National Provider Identifier
1841602208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4769
- Practice address
- Carr 830 KM 0.1 Plaza Cana Bo. Cerro Gordo
Sam'S Club Pharmacy 4748
Bayamon, PR 00957 - Phone
- (787) 730-9627
- Fax
- (787) 730-9640
- NPI assigned
- May 20, 2014
- 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 | 4769 | PR | Primary |
Addresses
Primary practice location
Carr 830 KM 0.1 Plaza Cana Bo. Cerro Gordo
Sam'S Club Pharmacy 4748
Bayamon, PR 00957
Mailing address
PO Box 607080
Sam'S Club Pharmacy 4748
Bayamon, PR 00960
Phone (787) 730-9627
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 |
|---|---|---|---|
| 4769 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1841602208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 607080",
"address_2": "SAM'S CLUB PHARMACY 4748",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "787-730-9627",
"fax_number": "787-730-9640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 830 KM 0.1 PLAZA CANA BO. CERRO GORDO",
"address_2": "SAM'S CLUB PHARMACY 4748",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00957",
"telephone_number": "787-730-9627",
"fax_number": "787-730-9640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "HILDELIZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-20",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4769",
"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 May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.