Individual provider Active NPI

Noemi De la Rosa

  • Pharmacist
  • Rio Piedras, PR
National Provider Identifier
1962554402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4485 Issued in PR
Practice address
1785 Carr 21
Las Lomas
Rio Piedras, PR 00921-3399
Phone
(787) 782-9999
Fax
(787) 273-6115
NPI assigned
Jan 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4485 PR Primary

Addresses

Primary practice location

1785 Carr 21
Las Lomas
Rio Piedras, PR 00921-3399

Mailing address

1885 Calle Francisco Zuniga
Fair View
San Juan, PR 00926-7629
Phone (787) 748-3266

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

LicenseStateTypeSpecialty
4485PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962554402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 CALLE FRANCISCO ZUNIGA",
            "address_2": "FAIR VIEW",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267629",
            "telephone_number": "787-748-3266",
            "fax_number": "787-273-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 CARR 21",
            "address_2": "LAS LOMAS",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009213399",
            "telephone_number": "787-782-9999",
            "fax_number": "787-273-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "NOEMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.