Active NPI
Mario E. Laureano
- Pharmacist
- Dorado, PR
National Provider Identifier
1912057902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 001834
- Practice address
- Calle Mendez Vigo 269
Dorado, PR 00646 - Phone
- (787) 796-1155
- Fax
- (787) 796-8747
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- 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 | 001834 | PR | Primary |
Addresses
Primary practice location
Calle Mendez Vigo 269
Dorado, PR 00646
Mailing address
PO Box 254
Dorado, PR 00646-0254
Phone (787) 796-1155
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 |
|---|---|---|---|
| 001834 | PR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MC Drug LLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912057902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 254",
"city": "DORADO",
"state": "PR",
"postal_code": "006460254",
"telephone_number": "787-796-1155",
"fax_number": "787-796-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE MENDEZ VIGO 269",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-796-1155",
"fax_number": "787-796-8747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUREANO",
"first_name": "MARIO",
"middle_name": "E.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "001834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorado, 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.