Active NPI
Carmen Diaz
- Pharmacy Technician
- Bayamon, PR
National Provider Identifier
1164816047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 008123
- Practice address
- 20-28 Ave. Gilberto Concepcion de Gracia
Urb. Sierra Bayamon
Bayamon, PR 00961 - Phone
- (787) 786-9610
- NPI assigned
- Mar 27, 2015
- Last updated
- Apr 16, 2015
- 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 | 008123 | PR | Primary |
Addresses
Primary practice location
20-28 Ave. Gilberto Concepcion de Gracia
Urb. Sierra Bayamon
Bayamon, PR 00961
Mailing address
28-20 Ave. Gilberto Concepcion de Gracia
Urb. Sierra Bayamon,
Bayamon, PR 00961
Phone (787) 786-9610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113993 | Other | PR | PHARMACY REGISTRY |
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 |
|---|---|---|---|
| 008123 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1164816047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28-20 AVE. GILBERTO CONCEPCION DE GRACIA",
"address_2": "URB. SIERRA BAYAMON,",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-786-9610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20-28 AVE. GILBERTO CONCEPCION DE GRACIA",
"address_2": "URB. SIERRA BAYAMON",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-786-9610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "CARMEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "008123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY REGISTRY",
"identifier": "113993",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.