Active NPI
Ivelisse Castresana, PHARMD
- Pharmacist
- Luquillo, PR
National Provider Identifier
1972898377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5259
- Practice address
- 889 Calle 2
Brisas del Mar
Luquillo, PR 00773-2714 - Phone
- (787) 889-3102
- NPI assigned
- Jun 14, 2011
- 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 | 5259 | PR | Primary |
Addresses
Primary practice location
889 Calle 2
Brisas del Mar
Luquillo, PR 00773-2714
Mailing address
889 Calle 2
Brisas del Mar
Luquillo, PR 00773-2714
Phone (787) 889-3102
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 |
|---|---|---|---|
| 5259 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1972898377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "889 CALLE 2",
"address_2": "BRISAS DEL MAR",
"city": "LUQUILLO",
"state": "PR",
"postal_code": "007732714",
"telephone_number": "787-889-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "889 CALLE 2",
"address_2": "BRISAS DEL MAR",
"city": "LUQUILLO",
"state": "PR",
"postal_code": "007732714",
"telephone_number": "787-889-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRESANA",
"first_name": "IVELISSE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Luquillo, PR
- Kareen Analisse Cardona-Vicente, M.D.
- Caribbean Anesthesia Services of Fajardo
- Caribbean PMR Group
- Narciso Reyes Carrillo, M.D
- Karelys Nicolle Carrion-Mujica, MS/SLP-CCC
- CDT Luquillo
- Centro Diagnostico Y Tratamiento Luquillo
- Centro Radiologico Luquillo PSC
- Clinica de Salud del Este
- Clinica de Salud del Este
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.