Jissela Carrion

Individual provider Active NPI Pharmacy Technician · Canovanas, PR

NPI 1043349129 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043349129
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
4449 (PR)
Practice address
Calle Clavel I 296 Loiza Valley
Canovanas, PR 00729
Phone
(787) 550-1159
NPI assigned
Mar 5, 2007
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 4449 PR Yes

Addresses

Primary practice location

Calle Clavel I 296 Loiza Valley
Canovanas, PR 00729

Mailing address

115 Calle Rodrigo de Triana
San Juan, PR 00918-3207
Phone (787) 550-1159

Other identifiers

IdentifierTypeStateIssuer
4433676OtherPRDRIVERS LICENSE

Other providers in Canovanas, PR

All providers in Canovanas, PR · Pharmacy Technician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.