Active NPI
Maritza Nistal
- Pharmacy Technician
- Arecibo, PR
National Provider Identifier
1043433295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 1697
- Practice address
- HC 06 Box 19876
Bo Hato Arriba
Arecibo, PR 00612 - Phone
- (787) 817-0468
- NPI assigned
- Apr 10, 2007
- 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 | 1697 | PR | Primary |
Addresses
Primary practice location
HC 06 Box 19876
Bo Hato Arriba
Arecibo, PR 00612
Mailing address
HC 06 Box 19876
Bo Hato Arriba
Arecibo, PR 00612
Phone (787) 817-0468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1697 | Other | PR | TECNICA DE FARMACIA |
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 |
|---|---|---|---|
| 1697 | PR | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043433295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 06 BOX 19876",
"address_2": "BO HATO ARRIBA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-817-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 06 BOX 19876",
"address_2": "BO HATO ARRIBA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-817-0468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISTAL",
"first_name": "MARITZA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "1697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TECNICA DE FARMACIA",
"identifier": "1697",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, 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.