Active NPI
Angel Obryan Rodriguez Matos
- Pharmacy Technician
- Las Piedras, PR
National Provider Identifier
1124739628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 012297
- Practice address
- Urb Olimpic Park Calle Atenas
Las Piedras, PR 00771 - Phone
- (939) 273-5787
- NPI assigned
- Dec 6, 2022
- Sex
- Male
- 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 | 012297 | PR | Primary |
Addresses
Primary practice location
Urb Olimpic Park Calle Atenas
Las Piedras, PR 00771
Mailing address
Urb Olimpic Park 110 Calle Atenas
Las Piedras, PR 00771
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 |
|---|---|---|---|
| 012297 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1124739628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB OLIMPIC PARK 110 CALLE ATENAS",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "00771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB OLIMPIC PARK CALLE ATENAS",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "00771",
"telephone_number": "939-273-5787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ MATOS",
"first_name": "ANGEL",
"middle_name": "OBRYAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-09",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "012297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.