Active NPI
Melvin Omar Pastrana
- Pharmacy Technician
- Quebradillas, PR
National Provider Identifier
1033704556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 8623
- Practice address
- Parcelas Nuevas de Terranova
Calle 10 Casa # 166
Quebradillas, PR 00678 - Phone
- (787) 240-9428
- NPI assigned
- Mar 5, 2021
- Sex
- Male
- 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 | 8623 | PR | Primary |
Addresses
Primary practice location
Parcelas Nuevas de Terranova
Calle 10 Casa # 166
Quebradillas, PR 00678
Mailing address
Parcelas Nuevas de Terranova
Calle 10 Casa # 166
Quebradillas, PR 00678
Phone (787) 240-9428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R00069047 | Other | PR | 8623 |
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 |
|---|---|---|---|
| 8623 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1033704556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PARCELAS NUEVAS DE TERRANOVA",
"address_2": "CALLE 10 CASA # 166",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "00678",
"telephone_number": "787-240-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PARCELAS NUEVAS DE TERRANOVA",
"address_2": "CALLE 10 CASA # 166",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "00678",
"telephone_number": "787-240-9428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTRANA",
"first_name": "MELVIN",
"middle_name": "OMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-05",
"last_updated": "2021-03-05",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "8623",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "8623",
"identifier": "R00069047",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Quebradillas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.