Individual provider Active NPI

Nelson Figueroa-Dominguez, R.PH.

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1942597687
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1798 Issued in PR
Practice address
315 Tampa St.
San Gerardo
San Juan, PR 00926-3433
Phone
(787) 754-6404
NPI assigned
Jul 1, 2011
Last updated
Jul 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1798 PR Primary

Addresses

Primary practice location

315 Tampa St.
San Gerardo
San Juan, PR 00926-3433

Mailing address

315 Tampa St.
San Gerardo
San Juan, PR 00926-3433
Phone (787) 754-6404

Other identifiers 1

IdentifierTypeStateIssuer
1798OtherPRREGISTERED PHARMACIST, PUERTO RICO LICENSE NUMBER

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
1798PRMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1942597687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 TAMPA ST.",
            "address_2": "SAN GERARDO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263433",
            "telephone_number": "787-754-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 TAMPA ST.",
            "address_2": "SAN GERARDO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263433",
            "telephone_number": "787-754-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA-DOMINGUEZ",
        "first_name": "NELSON",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "1798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST, PUERTO RICO LICENSE NUMBER",
            "identifier": "1798",
            "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 1, 2011; 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.