Active NPI
Mariangelly Cabrera
- Pharmacy Technician
- Isabela, PR
National Provider Identifier
1023729589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 014565
- Practice address
- 3480 Ave Militar
Isabela, PR 00662-4065 - Phone
- (787) 872-0502
- NPI assigned
- Dec 6, 2022
- Last updated
- Dec 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 014565 | PR | Primary |
Addresses
Primary practice location
3480 Ave Militar
Isabela, PR 00662-4065
Mailing address
4406 Ave Militar
Isabela, PR 00662-4158
Phone (787) 872-5943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6576115 | Medicaid | PR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | farmacialosangeles |
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 |
|---|---|---|---|
| 014565 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmacia Los Angeles de Isabela LLC | Current | Accepting new patients | |
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3480 Ave Militar
Isabela, PR 00662
Phone (787) 872-0502
4406 Ave Militar
Isabela, PR 00662
Phone (787) 436-2763
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Farmacia Los Angeles
- Community/Retail Pharmacy
- Isabela, PR
- NPI 1255342820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1023729589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4406 AVE MILITAR",
"city": "ISABELA",
"state": "PR",
"postal_code": "006624158",
"telephone_number": "787-872-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3480 AVE MILITAR",
"city": "ISABELA",
"state": "PR",
"postal_code": "006624065",
"telephone_number": "787-872-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "MARIANGELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "014565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6576115",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "farmacialosangeles",
"affiliation": "N",
"address_1": "3480 Ave Militar",
"city": "Isabela",
"state": "PR",
"country_code": "US",
"postal_code": "006624065",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.