Individual provider Active NPI

Adelaida Sierra Sostre

  • Pharmacy Technician
  • Bayamon, PR
National Provider Identifier
1013045251
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
6118 Issued in PR
Practice address
Ave Lomas Verdes Edif. Universidad Phoenix
Carretera 177, KM. 2.0
Bayamon, PR 00959
Phone
(787) 272-4998
Fax
(787) 272-4969
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 6118 PR Primary

Addresses

Primary practice location

Ave Lomas Verdes Edif. Universidad Phoenix
Carretera 177, KM. 2.0
Bayamon, PR 00959

Mailing address

Condominio Santa Paula
Apt. 403- C
Guaynabo, PR 00969
Phone (787) 436-6063

Other identifiers 1

IdentifierTypeStateIssuer
6118OtherPRPHARMACIST THECNICIAN

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

State licenses

LicenseStateTypeSpecialty
6118PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013045251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO SANTA PAULA",
            "address_2": "APT. 403- C",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-436-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LOMAS VERDES EDIF. UNIVERSIDAD PHOENIX",
            "address_2": "CARRETERA 177, KM. 2.0",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-272-4998",
            "fax_number": "787-272-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSTRE",
        "first_name": "ADELAIDA",
        "middle_name": "SIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "6118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST THECNICIAN",
            "identifier": "6118",
            "state": "PR"
        }
    ],
    "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 Jul 8, 2007; 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.