Individual provider Active NPI

Marisol Cortes Hernandez, PHARMACIST

  • Pharmacist
  • Rio Grande, PR
National Provider Identifier
1891328449
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4351 Issued in PR
Practice address
Carr. #3 KM. 32.9 Bo. Tres T
Rio Grande, PR 00745
Phone
(787) 888-1185
NPI assigned
Feb 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4351 PR Primary

Addresses

Primary practice location

Carr. #3 KM. 32.9 Bo. Tres T
Rio Grande, PR 00745

Mailing address

HN-31 Calle 254
Ext III Country Club
Carolina, PR 00982-2635
Phone (787) 439-0410

Other identifiers 1

IdentifierTypeStateIssuer
4351OtherPRJUNTA DE FARMACIA

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

LicenseStateTypeSpecialty
4351PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1891328449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HN-31 CALLE 254",
            "address_2": "EXT III COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822635",
            "telephone_number": "787-439-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #3 KM. 32.9 BO. TRES T",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-888-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTES HERNANDEZ",
        "first_name": "MARISOL",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUNTA DE FARMACIA",
            "identifier": "4351",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.