Active NPI
Melissa Rodriguez
- Pharmacy Technician
- San Juan, PR
National Provider Identifier
1013786672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 6652
- Practice address
- 400 Ave la Sierra # 177
San Juan, PR 00926-4351 - Phone
- (787) 292-2050
- Fax
- (787) 755-6836
- NPI assigned
- Dec 25, 2023
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 6652 | PR | Primary |
Addresses
Primary practice location
400 Ave la Sierra # 177
San Juan, PR 00926-4351
Mailing address
400 Ave la Sierra # 177
San Juan, PR 00926-4351
Phone (787) 292-2050
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6652 | PR | MD | Counseling Psychologist |
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": "1703462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703462400000",
"number": "1013786672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 AVE LA SIERRA # 177",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009264351",
"telephone_number": "787-292-2050",
"fax_number": "787-755-6836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 AVE LA SIERRA # 177",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009264351",
"telephone_number": "787-292-2050",
"fax_number": "787-755-6836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-25",
"last_updated": "2023-12-25",
"certification_date": "2023-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "6652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.