Glorimar San Miguel, 1328-PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1328-PA Issued in PR

Practice address

26 Calle Ext Corchado
Ciales, PR 00638-3206

Phone

(787) 394-3386

NPI assigned

Jul 14, 2022

Last updated

Jul 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1922732882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CALLE EXT CORCHADO",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383206",
            "telephone_number": "787-394-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CALLE EXT CORCHADO",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383206",
            "telephone_number": "787-394-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN MIGUEL",
        "first_name": "GLORIMAR",
        "name_prefix": "Dr.",
        "credential": "1328-PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "1328-PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Del Carmen Rodriguez
• Rosangela Rodriguez, PHARM.D.
• Yariandelis D Rosario Aponte
• Enid Rosario
• Aleriz Ruiz
• Orlando Sanchez Gonzalez, MD
• David Wariel Sanchez Vazquez
• Luisa Maria Sanchez, PT
• Neisha Maite Santiago Gaston, BSN
• Marielys Santiago

• Medical Physician Assistant in Ciales, PR
• Providers in Ciales, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.