Individual provider Active NPI

Josean Vargas Maisonet, PHARM.D.

  • Pharmacist
  • Bayamon, PR
National Provider Identifier
1992007553
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
005429 Issued in PR
Practice address
49 Calle Cuarzo
Mirabella Village Club
Bayamon, PR 00961-4821
Phone
(787) 313-1749
NPI assigned
Dec 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 005429 PR Primary

Addresses

Primary practice location

49 Calle Cuarzo
Mirabella Village Club
Bayamon, PR 00961-4821

Mailing address

Mirabella Village Club
Calle Cuarzo #49
Bayamon, PR 00961

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

LicenseStateTypeSpecialty
005429PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1992007553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MIRABELLA VILLAGE CLUB",
            "address_2": "CALLE CUARZO #49",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CALLE CUARZO",
            "address_2": "MIRABELLA VILLAGE CLUB",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614821",
            "telephone_number": "787-313-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS MAISONET",
        "first_name": "JOSEAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "005429",
            "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 Dec 2, 2010; 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.