Individual provider Active NPI

Paola Alejandra Nicole Sandoval Perez, PHARMD

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1942948856
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
007033 Issued in PR
Practice address
1351 Calle Wilson Apt 5B
San Juan, PR 00907-2233
Phone
(787) 216-5450
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0015074 CT
Pharmacist 183500000X 007033 PR Primary

Addresses

Primary practice location

1351 Calle Wilson Apt 5B
San Juan, PR 00907-2233

Mailing address

1351 Calle Wilson Apt 5B
San Juan, PR 00907-2233
Phone (787) 216-5450

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0015074CTMDPharmacist
007033PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1942948856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 CALLE WILSON APT 5B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072233",
            "telephone_number": "787-216-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 CALLE WILSON APT 5B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072233",
            "telephone_number": "787-216-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL PEREZ",
        "first_name": "PAOLA",
        "middle_name": "ALEJANDRA NICOLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0015074",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "007033",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 23, 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.