Active NPI
Larisa Nieves, R.PH.
- Pharmacist
- Bayamon, PR
National Provider Identifier
1962653840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4068
- Practice address
- St. 2 D-4 Haciendas El Zorzal
Bayamon, PR 00956 - Phone
- (787) 279-1316
- NPI assigned
- Oct 9, 2008
- Sex
- Female
- 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 | 4068 | PR | Primary |
Addresses
Primary practice location
St. 2 D-4 Haciendas El Zorzal
Bayamon, PR 00956
Mailing address
Street 2 D-4 Haciendas El Zorzal
Bayamon, PR 00956
Phone (787) 279-1316
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4068 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1962653840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STREET 2 D-4 HACIENDAS EL ZORZAL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-279-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST. 2 D-4 HACIENDAS EL ZORZAL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-279-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "LARISA",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-09",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.