Active NPI
Wanda Millan
- Medical Technologist
- Cabo Rojo, PR
National Provider Identifier
1144420522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 2720
- Practice address
- 30 Calle Salvador Brau
Cabo Rojo, PR 00623-3417 - Phone
- (787) 851-1007
- Fax
- (787) 255-2680
- NPI assigned
- Jul 23, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 2720 | PR | Primary |
Addresses
Primary practice location
30 Calle Salvador Brau
Cabo Rojo, PR 00623-3417
Mailing address
30 Calle Salvador Brau
Cabo Rojo, PR 00623-3417
Phone (787) 851-1007
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 |
|---|---|---|---|
| 2720 | PR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1144420522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CALLE SALVADOR BRAU",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "006233417",
"telephone_number": "787-851-1007",
"fax_number": "787-255-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CALLE SALVADOR BRAU",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "006233417",
"telephone_number": "787-851-1007",
"fax_number": "787-255-2680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLAN",
"first_name": "WANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "PR",
"license": "2720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cabo Rojo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.