Active NPI
Raul Quesada
- Pharmacist
- Santa Isabel, PR
National Provider Identifier
1942064712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2210
- Practice address
- 40 Munoz Rivera St
Santa Isabel, PR 00757 - Phone
- (787) 845-3030
- Fax
- (787) 845-5428
- NPI assigned
- Feb 12, 2024
- 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 | 2210 | PR | Primary |
Addresses
Primary practice location
40 Munoz Rivera St
Santa Isabel, PR 00757
Mailing address
108 Calle Victoria
Ponce, PR 00730-3767
Phone (787) 259-5233
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 |
|---|---|---|---|
| 2210 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1942064712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CALLE VICTORIA",
"city": "PONCE",
"state": "PR",
"postal_code": "007303767",
"telephone_number": "787-259-5233",
"fax_number": "787-842-4671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MUNOZ RIVERA ST",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "00757",
"telephone_number": "787-845-3030",
"fax_number": "787-845-5428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUESADA",
"first_name": "RAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-12",
"last_updated": "2024-02-12",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "2210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Isabel, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.