Active NPI
Glenda Luz Aviles
- Pharmacy Technician
- San Juan, PR
National Provider Identifier
1255707238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 10078
- Practice address
- 2428 Calle Loiza
San Juan, PR 00913-4731 - Phone
- (787) 726-0295
- Fax
- (787) 726-8798
- NPI assigned
- Aug 13, 2015
- Last updated
- Aug 13, 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 | 10078 | PR | Primary |
Addresses
Primary practice location
2428 Calle Loiza
San Juan, PR 00913-4731
Mailing address
Calle Loiza #2428
San Juan, PUERTO RICO 00913
UM
Phone (787) 726-0295
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 |
|---|---|---|---|
| 10078 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erick J Quinones Pabon | Past | Accepting new patients | |
| Plaza Health LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1255707238",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "CALLE LOIZA #2428",
"city": "SAN JUAN",
"state": "PUERTO RICO",
"postal_code": "00913",
"telephone_number": "787-726-0295",
"fax_number": "787-726-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2428 CALLE LOIZA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009134731",
"telephone_number": "787-726-0295",
"fax_number": "787-726-8798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILES",
"first_name": "GLENDA",
"middle_name": "LUZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-13",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "10078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.