Active NPI
Bladimir Herrera Perez, PHARMD
- Pharmacist
- San Juan, PR
National Provider Identifier
1962130641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7039
- Practice address
- 374 Ave Ponce de Leon
San Juan, PR 00918-2024 - Phone
- (787) 238-5501
- NPI assigned
- Aug 10, 2022
- 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 | 7039 | PR | Primary |
Addresses
Primary practice location
374 Ave Ponce de Leon
San Juan, PR 00918-2024
Mailing address
200 Ave Jesus T Pinero Apt 9L
San Juan, PR 00918-4137
Phone (787) 238-5501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7039 | Other | PR | HEALTH DEPARTMENT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7039 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1962130641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 AVE JESUS T PINERO APT 9L",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009184137",
"telephone_number": "787-238-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 AVE PONCE DE LEON",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009182024",
"telephone_number": "787-238-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA PEREZ",
"first_name": "BLADIMIR",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "7039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH DEPARTMENT",
"identifier": "7039",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Edgar Herran Garcia, RN, BSN, CDE, WSOC
- Idamys Angelica Herrera Abuhazi, M.D.
- Carlos Alberto Herrera Jimenez, MD
- Christina Herrera Ortega, PSY.D
- Jose Carlos Herrera Ortiz, MD
- Normarie Herrera Rivera
- Agueda Isabel Herrera, M.D
- Brenly Milagros Herrera
- Jose Antonio Herrera, M.D.
- William Diaz Herrera, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.