Individual provider Active NPI

Pedro Jose Jurado Cotto, RPH

  • Pharmacist
  • Fajardo, PR
National Provider Identifier
1952695546
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5469 Issued in PR
Practice address
Ctra #3 KM 49.7
Monte Sol SHP Center, Bo. Quebrada Vuelta.
Fajardo, PR 00738
Phone
(787) 863-0104
Fax
(787) 863-0793
NPI assigned
Jun 1, 2011
Last updated
Jun 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 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 5469 PR Primary

Addresses

Primary practice location

Ctra #3 KM 49.7
Monte Sol SHP Center, Bo. Quebrada Vuelta.
Fajardo, PR 00738

Mailing address

P.O. Box 1067
Ceiba, PR 00735-1067
Phone (787) 885-0471

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
5469PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1952695546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1067",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "007351067",
            "telephone_number": "787-885-0471",
            "fax_number": "787-863-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CTRA #3 KM 49.7",
            "address_2": "MONTE SOL SHP CENTER, BO. QUEBRADA VUELTA.",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-863-0104",
            "fax_number": "787-863-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURADO COTTO",
        "first_name": "PEDRO",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "5469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

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