Active NPI
Monica Alexandra Jimenez Vives, CPHT
- Pharmacy Technician
- Aguadilla, PR
National Provider Identifier
1154059574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 011583
- Practice address
- Carr 107 KM 2.7 Int
Aguadilla, PR 00603 - Phone
- (787) 551-3900
- NPI assigned
- Aug 12, 2022
- 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 | 011583 | PR | Primary |
Addresses
Primary practice location
Carr 107 KM 2.7 Int
Aguadilla, PR 00603
Mailing address
PO Box 250622
Aguadilla, PR 00604-0622
Phone (787) 410-2580
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 |
|---|---|---|---|
| 011583 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1154059574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250622",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006040622",
"telephone_number": "787-410-2580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 107 KM 2.7 INT",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-551-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ VIVES",
"first_name": "MONICA",
"middle_name": "ALEXANDRA",
"name_prefix": "Ms.",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-12",
"last_updated": "2022-08-12",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "011583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.