Active NPI
Lida Orialis Miranda, PHARMACYTECHNICIAN
- Pharmacy Technician
- Vega Alta, PR
National Provider Identifier
1093840456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 6220
- Practice address
- 36 Calle Munoz Rivera
Vega Alta, PR 00692-6530 - Phone
- (787) 883-4140
- Fax
- (787) 270-3526
- NPI assigned
- Feb 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 6220 | PR | Primary |
Addresses
Primary practice location
36 Calle Munoz Rivera
Vega Alta, PR 00692-6530
Mailing address
Calle Paseo Claro 401
Urb Villa Pinares
Vegabaja, PR 00693
Phone (787) 855-6609
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 |
|---|---|---|---|
| 6220 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minerva de Gracia Carrion | Past | Accepting new patients | |
| Farmacia Vega Alta,Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pharmacy
- Vega Alta, PR
- NPI 1922527969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093840456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE PASEO CLARO 401",
"address_2": "URB VILLA PINARES",
"city": "VEGABAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "787-855-6609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 CALLE MUNOZ RIVERA",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "006926530",
"telephone_number": "787-883-4140",
"fax_number": "787-270-3526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "LIDA",
"middle_name": "ORIALIS",
"name_prefix": "Mrs.",
"credential": "PHARMACYTECHNICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "6220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vega Alta, 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.