Active NPI
Eily Medina
- Pharmacy Technician
- Caguas, PR
National Provider Identifier
1194877803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 3275
- Practice address
- 47 Calle Ruiz Belvis
Centro Urbano
Caguas, PR 00725-3510 - Phone
- (787) 744-1441
- Fax
- (787) 258-8223
- NPI assigned
- Jan 16, 2007
- Last updated
- Jul 8, 2007
- 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 | 3275 | PR | Primary |
Addresses
Primary practice location
47 Calle Ruiz Belvis
Centro Urbano
Caguas, PR 00725-3510
Mailing address
PO Box 1124
Aguas Buenas, PR 00703-1124
Phone (787) 732-0625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3275 | Other | PR | LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194877803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1124",
"city": "AGUAS BUENAS",
"state": "PR",
"postal_code": "007031124",
"telephone_number": "787-732-0625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 CALLE RUIZ BELVIS",
"address_2": "CENTRO URBANO",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007253510",
"telephone_number": "787-744-1441",
"fax_number": "787-258-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "EILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "3275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "3275",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.