Active NPI
Raquel Tres Gonzalez Gonzalez
- Pharmacy Technician
- Mayaguez, PR
National Provider Identifier
1164080552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 007407
- Practice address
- Carr 401 KM 0.9 Bo Playa
Mayaguez, PR 00610 - Phone
- (787) 826-6453
- NPI assigned
- May 31, 2019
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 007407 | PR | Primary |
Addresses
Primary practice location
Carr 401 KM 0.9 Bo Playa
Mayaguez, PR 00610
Mailing address
PO Box 1058
Anasco, PR 00610-1058
Phone (787) 585-9312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314291 | Other | PR | CITICEN |
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 |
|---|---|---|---|
| 007407 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1164080552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1058",
"city": "ANASCO",
"state": "PR",
"postal_code": "006101058",
"telephone_number": "787-585-9312",
"fax_number": "787-826-6453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 401 KM 0.9 BO PLAYA",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00610",
"telephone_number": "787-826-6453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ GONZALEZ",
"first_name": "RAQUEL",
"middle_name": "TRES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-31",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "007407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITICEN",
"identifier": "314291",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.