Active NPI
Maribel Molina
- Pharmacist
- Utuado, PR
National Provider Identifier
1871887596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3596
- Practice address
- Ave. Fernando L. Rivas Dominnicci
Carr. 111 Int. 611 KM 1.7
Utuado, PR 00641-0571 - Phone
- (787) 894-8214
- Fax
- (787) 894-1234
- NPI assigned
- May 31, 2011
- Last updated
- May 31, 2011
- 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 | 3596 | PR | Primary |
Addresses
Primary practice location
Ave. Fernando L. Rivas Dominnicci
Carr. 111 Int. 611 KM 1.7
Utuado, PR 00641-0571
Mailing address
PO Box 571
Utuado, PR 00641-0571
Phone (787) 894-8214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZUA9092153170400 | Other | PR | TRIPLE S BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 3596 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dispensario de Utuado | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- State or Local Public Health Clinic/Center
- Utuado, PR
- NPI 1659813186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1871887596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 571",
"city": "UTUADO",
"state": "PR",
"postal_code": "006410571",
"telephone_number": "787-894-8214",
"fax_number": "787-894-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. FERNANDO L. RIVAS DOMINNICCI",
"address_2": "CARR. 111 INT. 611 KM 1.7",
"city": "UTUADO",
"state": "PR",
"postal_code": "006410571",
"telephone_number": "787-894-8214",
"fax_number": "787-894-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA",
"first_name": "MARIBEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-31",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "3596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S BLUE CROSS BLUE SHIELD",
"identifier": "ZUA9092153170400",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Utuado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.