Individual provider Active NPI

Marie Celida Jimenez-Colon, R.PH.

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1912044488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4275 Issued in PR
Practice address
1007 Ave Munoz Rivera
Edificio Darlington
San Juan, PR 00925-2717
Phone
(787) 767-6510
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4275 PR Primary

Addresses

Primary practice location

1007 Ave Munoz Rivera
Edificio Darlington
San Juan, PR 00925-2717

Mailing address

120 Ave la Sierra
Box 17
San Juan, PR 00926-4344
Phone (787) 790-1128

Other identifiers 1

IdentifierTypeStateIssuer
4275OtherPRSTATE LICENSE

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
4275PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912044488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 AVE LA SIERRA",
            "address_2": "BOX 17",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264344",
            "telephone_number": "787-790-1128",
            "fax_number": "787-765-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 AVE MUNOZ RIVERA",
            "address_2": "EDIFICIO DARLINGTON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252717",
            "telephone_number": "787-767-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ-COLON",
        "first_name": "MARIE",
        "middle_name": "CELIDA",
        "name_prefix": "Miss",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4275",
            "state": "PR"
        }
    ],
    "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 Jul 8, 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.