Individual provider Active NPI

Marien Ortiz, AUXILIAR DE FARMACIA

  • Pharmacy Technician
  • Barranquitas, PR
National Provider Identifier
1164840146
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
005650 Issued in PR
Practice address
Carr. 719 KM 1.5 Bo. Helechal
Barranquitas, PR 00794
Phone
(939) 579-2539
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 005650 PR Primary

Addresses

Primary practice location

Carr. 719 KM 1.5 Bo. Helechal
Barranquitas, PR 00794

Mailing address

HC-4 Box 2866
Carr. 719 KM 1.5 Bo. Helechal
Barranquitas, PR 00794
Phone (939) 579-2539

Other identifiers 1

IdentifierTypeStateIssuer
4236401OtherPRTARJETA DE IDENTIFICACION

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

LicenseStateTypeSpecialty
005650PRMDPharmacy Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1164840146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC-4 BOX 2866",
            "address_2": "CARR. 719 KM 1.5 BO. HELECHAL",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "00794",
            "telephone_number": "939-579-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 719 KM 1.5 BO. HELECHAL",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "00794",
            "telephone_number": "939-579-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MARIEN",
        "credential": "AUXILIAR DE FARMACIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "005650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TARJETA DE IDENTIFICACION",
            "identifier": "4236401",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barranquitas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.