Individual provider Active NPI

Yezlie A. Carvajal-Sierra, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Aguas Buenas, PR
National Provider Identifier
1043665797
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
9663 Issued in PR
Practice address
Carr 156 R-790 KM 8.4
Bo Mulitas Alvelo
Aguas Buenas, PR 00703
Phone
(787) 469-6241
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 9663 PR Primary

Addresses

Primary practice location

Carr 156 R-790 KM 8.4
Bo Mulitas Alvelo
Aguas Buenas, PR 00703

Mailing address

PO Box 887
Aguas Buenas, PR 00703-0887
Phone (787) 469-6241

Other identifiers 1

IdentifierTypeStateIssuer
165448OtherPRHEALTH DEPARTMENT

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

LicenseStateTypeSpecialty
9663PRMDPharmacy Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1043665797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 887",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007030887",
            "telephone_number": "787-469-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 156 R-790 KM 8.4",
            "address_2": "BO MULITAS ALVELO",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "00703",
            "telephone_number": "787-469-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVAJAL-SIERRA",
        "first_name": "YEZLIE",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "9663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH DEPARTMENT",
            "identifier": "165448",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguas Buenas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.