Organization Active NPI

Intracare Infusion and Compounding Phcy

  • Home Infusion Therapy Pharmacy
  • San Juan, PR
National Provider Identifier
1902951692
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
08F2456 Issued in PR
Legal business name
INTRACARE INFUSION AND COMPOUNDING PHCY
Practice address
690 Calle Cesar Gonzalez # 479
Urb Roosevelt
San Juan, PR 00918-3901
Phone
(787) 250-1515
Fax
(787) 753-0708
NPI assigned
Jan 24, 2007
Last updated
Sep 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Anibel Rosas
Title
Med Director
Phone
(787) 250-1515

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 08F2456 PR Primary
Specialty Pharmacy 3336S0011X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

690 Calle Cesar Gonzalez # 479
Urb Roosevelt
San Juan, PR 00918-3901

Mailing address

690 Calle Cesar Gonzalez # 479
Urb Roosevelt
San Juan, PR 00918-3901

Other identifiers 2

IdentifierTypeStateIssuer
4025563OtherOTHER ID NUMBER-COMMERCIAL NUMBER
4025563OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Intracare Infusion and Compounding Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

479 Calle Cesar Gonzalez
San Juan, PR 00918
Phone (787) 250-1515

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1902951692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CALLE CESAR GONZALEZ # 479",
            "address_2": "URB ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 CALLE CESAR GONZALEZ # 479",
            "address_2": "URB ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183901",
            "telephone_number": "787-250-1515",
            "fax_number": "787-753-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRACARE INFUSION AND COMPOUNDING PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "ROSAS",
        "authorized_official_first_name": "ANIBEL",
        "authorized_official_title_or_position": "MED DIRECTOR",
        "authorized_official_telephone_number": "787-250-1515"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "PR",
            "license": "08F2456",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4025563",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4025563",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.