Consejo Renal de Puerto Rico

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

09F2556 Issued in PR

Legal business name

CONSEJO RENAL DE PUERTO RICO

Practice address

#117 Eleanor Roosevelt Street
Suite 100a
San Juan, PR 00918

Phone

(787) 765-1500

Fax

(787) 765-1515

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Hilda I Rodriguez

Title

Accountant

Phone

(787) 765-1500

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1962566794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10542",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220542",
            "telephone_number": "787-765-1500",
            "fax_number": "787-765-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#117 ELEANOR ROOSEVELT STREET",
            "address_2": "SUITE 100A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-765-1500",
            "fax_number": "787-765-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSEJO RENAL DE PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "HILDA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "787-765-1500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "07-F-0315",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "09F2556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in San Juan, PR
• Providers in San Juan, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.