Active NPI
Idelisse Vazquez, PT
- Pharmacy Technician
- Naranjito, PR
National Provider Identifier
1265656763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5804
- Practice address
- HC 75 Box 1818
Naranjito, PR 00719-9719 - Phone
- (787) 869-1462
- NPI assigned
- Apr 13, 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 | 5804 | PR | Primary |
Addresses
Primary practice location
HC 75 Box 1818
Naranjito, PR 00719-9719
Mailing address
HC 75 Box 1818
Naranjito, PR 00719-9719
Phone (787) 869-1462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5804 | Other | PR | PT |
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 |
|---|---|---|---|
| 5804 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265656763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 75 BOX 1818",
"city": "NARANJITO",
"state": "PR",
"postal_code": "007199719",
"telephone_number": "787-869-1462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 75 BOX 1818",
"city": "NARANJITO",
"state": "PR",
"postal_code": "007199719",
"telephone_number": "787-869-1462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "IDELISSE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "5804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT",
"identifier": "5804",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naranjito, 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.