Individual provider Active NPI

Keyla Z Traverso, RPH

  • Pharmacist
  • Hormigueros, PR
National Provider Identifier
1053826271
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4719 Issued in PR
Practice address
Carr 2 KM 166.2
Lavadero
Hormigueros, PR 00660
Phone
(787) 849-1714
Fax
(787) 849-1715
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4719 PR Primary

Addresses

Primary practice location

Carr 2 KM 166.2
Lavadero
Hormigueros, PR 00660

Mailing address

PO Box 784
Hormigueros, PR 00660-0784
Phone (787) 849-1714

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
4719PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Constancia Pharmacy, Inc. Current Accepting new patients
Farmacia Constancia,Inc. Current Accepting new patients
Torres Traverso, LLC Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1053826271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 784",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006600784",
            "telephone_number": "787-849-1714",
            "fax_number": "787-849-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 166.2",
            "address_2": "LAVADERO",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "787-849-1714",
            "fax_number": "787-849-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERSO",
        "first_name": "KEYLA",
        "middle_name": "Z",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hormigueros, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.