Active NPI
Elba Del Valle
- Pharmacy Technician
- San Juan, PR
National Provider Identifier
1073636247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 4105
- Practice address
- 800 Ave Rafael Hdez Marin
Ste 5 Farmacia Amiga de Montecarlo
San Juan, PR 00924-5288 - Phone
- (787) 762-1616
- Fax
- (787) 769-5353
- 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 | 4105 | PR | Primary |
Addresses
Primary practice location
800 Ave Rafael Hdez Marin
Ste 5 Farmacia Amiga de Montecarlo
San Juan, PR 00924-5288
Mailing address
A33 Calle Gardenia
Loiza Valley
Canovanas, PR 00729-3548
Phone (787) 220-1896
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 |
|---|---|---|---|
| 4105 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmacia Amiga Montecarlo Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Farmacia Amiga Montecarlo
- Community/Retail Pharmacy
- San Juan, PR
- NPI 1518978188
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": "1073636247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A33 CALLE GARDENIA",
"address_2": "LOIZA VALLEY",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007293548",
"telephone_number": "787-220-1896",
"fax_number": "787-769-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 AVE RAFAEL HDEZ MARIN",
"address_2": "STE 5 FARMACIA AMIGA DE MONTECARLO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009245288",
"telephone_number": "787-762-1616",
"fax_number": "787-769-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL VALLE",
"first_name": "ELBA",
"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": "4105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, 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.