Active NPI
Carlos M Pagan Monsegur, CPHT
- Pharmacy Technician
- Hormigueros, PR
National Provider Identifier
1245896190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 10312
- Practice address
- 608 Calle Yaguez
Estancias del Rio
Hormigueros, PR 00660-0066 - Phone
- (939) 865-0347
- NPI assigned
- May 16, 2019
- Last updated
- May 16, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 30036828 | PR | |
| Pharmacy Technician | 183700000X | 10312 | PR | Primary |
Addresses
Primary practice location
608 Calle Yaguez
Estancias del Rio
Hormigueros, PR 00660-0066
Mailing address
608 Calle Yaguez
Estancias del Rio
Hormigueros, PR 00660
Phone (939) 865-0347
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188736 | Other | PR | PHARMACY TECHNICIAN |
| 30036828 | Other | PR | PTCB |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | HORMIGUEROS | ||
| Other URL | HORMIGUEROS |
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 |
|---|---|---|---|
| 30036828 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1245896190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 CALLE YAGUEZ",
"address_2": "ESTANCIAS DEL RIO",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "00660",
"telephone_number": "939-865-0347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 CALLE YAGUEZ",
"address_2": "ESTANCIAS DEL RIO",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "006600066",
"telephone_number": "939-865-0347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGAN MONSEGUR",
"first_name": "CARLOS",
"middle_name": "M",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-16",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "30036828",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "10312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY TECHNICIAN",
"identifier": "188736",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTCB",
"identifier": "30036828",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "HORMIGUEROS",
"affiliation": "N",
"address_1": "estancias del rio calle yaguez 608",
"city": "Hormigueros",
"state": "PR",
"country_code": "US",
"postal_code": "006600066",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "HORMIGUEROS",
"affiliation": "N",
"address_1": "estancias del rio calle yaguez 608",
"city": "Hormigueros",
"state": "PR",
"country_code": "US",
"postal_code": "006600066",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hormigueros, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.