Myrna Enid Casillas
Individual provider Active NPI Pharmacist · Canovanas, PR
NPI 1992396956 · NPPES record last updated Feb 1, 2021
Key facts
- NPI
- 1992396956
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5499 (PR)
- Practice address
- 65 Calle Calderon Mujica
Canovanas, PR 00729-3127 - Phone
- (787) 876-2150
- Fax
- (787) 256-3420
- NPI assigned
- Feb 1, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5499 | PR | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5499 | PR | Yes |
Addresses
Primary practice location
65 Calle Calderon Mujica
Canovanas, PR 00729-3127
Mailing address
Miramelinda Estates 270 Calle Zumbador
Rio Grande, PR 00745
Phone (787) 910-6778
Other providers in Canovanas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.