Tatiana Ivelisse Carraquillo Rosa, CPTH
Individual provider Active NPI Pharmacy Technician · Juncos, PR
NPI 1114488749 · NPPES record last updated Mar 27, 2019
Key facts
- NPI
- 1114488749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 12056 (PR)
- Practice address
- Bo Ceiba Norte
Carr 31 KM 24.5
Juncos, PR 00777 - Phone
- (787) 705-2239
- Fax
- (888) 580-6779
- NPI assigned
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12056 | PR | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 12056 | PR | Yes |
Addresses
Primary practice location
Bo Ceiba Norte
Carr 31 KM 24.5
Juncos, PR 00777
Mailing address
109 Calle Jose Tous Soto
San Lorenzo, PR 00754
Phone (787) 388-6209
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6564767 | Other | PR | DRIVER'LICENCE |
Other providers in Juncos, PR
- Cardio and Vascular Unlimited Services C.S.P
- Cardiologia Medica Integrada, Inc.
- Carlos Rivera/ Centro Visual Juncos
- Carmen Cermira Rivera Marcano
- Jeseyra Gliset Carmona Arroyo
- Lineysha Carrasquillo Carrasquillo
- Jessica Carrasquillo Quinones
- Vicky Marie Carrion Garcia
- Pedro Luis Carrion Morant
- Casa Blanca Home Care Boutique LLC
All providers in Juncos, PR · Pharmacy Technician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.