Active NPI
Jose M. Nazario Bracero
- Pharmacy Technician
- Mayaguez, PR
National Provider Identifier
1205622727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 014967
- Practice address
- 1400 Calle Idilio
Mayaguez, PR 00680-4583 - Phone
- (939) 865-8597
- NPI assigned
- Apr 21, 2025
- Last updated
- Apr 26, 2025
- Sex
- Male
- 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 | 014967 | PR | Primary |
Addresses
Primary practice location
1400 Calle Idilio
Mayaguez, PR 00680-4583
Mailing address
1400 Calle Idilio
Mayaguez, PR 00680-4583
Phone (939) 865-8597
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1888303 | Other | PR | NCPDP (NABP) |
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 |
|---|---|---|---|
| 014967 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745625600000",
"number": "1205622727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 CALLE IDILIO",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804583",
"telephone_number": "939-865-8597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 CALLE IDILIO",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804583",
"telephone_number": "939-865-8597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARIO BRACERO",
"first_name": "JOSE M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-21",
"last_updated": "2025-04-26",
"certification_date": "2025-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "014967",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP (NABP)",
"identifier": "1888303",
"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 Apr 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.