Active NPI
Yaderis Rosa Nieves, CERTIFICADE
- Pharmacy Technician
- San Sebastian, PR
National Provider Identifier
1104194539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 8698
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8698 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WL Pharmacy Corp | Current | 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.
-
- Community/Retail Pharmacy
- San Sebastian, PR
- NPI 1124242144
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.