Individual provider Active NPI

Yaderis Rosa Nieves, CERTIFICADE

  • Pharmacy Technician
  • San Sebastian, PR
National Provider Identifier
1104194539
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
8698 Issued in PR
Practice address
3 Urb Raholisa GDNS
San Sebastian, PR 00685-2415
Phone
(787) 896-2080
Fax
(787) 896-6100
NPI assigned
Dec 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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 8698 PR Primary

Addresses

Primary practice location

3 Urb Raholisa GDNS
San Sebastian, PR 00685-2415

Mailing address

HC 3 Box 36011
Moca, PR 00676-9028
Phone (787) 363-6577

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
8698PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
WL Pharmacy Corp CurrentSince Sep 8, 2025 Accepting new patients

Locations

3 Urb Raholisa Gdns
San Sebastian, PR 00685
Phone (787) 896-2080

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.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1104194539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 36011",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769028",
            "telephone_number": "787-363-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 URB RAHOLISA GDNS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852415",
            "telephone_number": "787-896-2080",
            "fax_number": "787-896-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA NIEVES",
        "first_name": "YADERIS",
        "name_prefix": "Mrs.",
        "credential": "CERTIFICADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "8698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.