Individual provider Active NPI

Tailyn Iglesias, PHTECH

  • Pharmacy Technician
  • Arecibo, PR
National Provider Identifier
1124294335
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
5983 Issued in PR
Practice address
Carretera 651 KM 2.5
Sector El Hunco
Arecibo, PR 00612-0000
Phone
(787) 880-4258
Fax
(787) 816-5921
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2008

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 5983 PR Primary

Addresses

Primary practice location

Carretera 651 KM 2.5
Sector El Hunco
Arecibo, PR 00612-0000

Mailing address

HC01 Box 5401
Sabana Hoyos
Arecibo, PR 00688-0000
Phone (787) 880-4258

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
5983PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1124294335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC01 BOX 5401",
            "address_2": "SABANA HOYOS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006880000",
            "telephone_number": "787-880-4258",
            "fax_number": "787-816-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 651 KM 2.5",
            "address_2": "SECTOR EL HUNCO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006120000",
            "telephone_number": "787-880-4258",
            "fax_number": "787-816-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "TAILYN",
        "credential": "PHTECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "5983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.