Active NPI
Tatiana Marin Roberto, PHARMACY TECH
- Pharmacy Technician
- Humacao, PR
National Provider Identifier
1275080053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 9610
- Practice address
- 104 Calle Font Martelo E Ste 1
Humacao, PR 00791-3946 - Phone
- (787) 850-9246
- Fax
- (787) 285-4095
- NPI assigned
- Sep 8, 2016
- Last updated
- Sep 8, 2016
- 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 | 9610 | PR | Primary |
Addresses
Primary practice location
104 Calle Font Martelo E Ste 1
Humacao, PR 00791-3946
Mailing address
D49 Calle Yagrumo
Vista Verde
Naguabo, PR 00718
Phone (787) 668-4283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6015022 | Other | PR | DRIVERS 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9610 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1275080053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "D49 CALLE YAGRUMO",
"address_2": "VISTA VERDE",
"city": "NAGUABO",
"state": "PR",
"postal_code": "00718",
"telephone_number": "787-668-4283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 CALLE FONT MARTELO E STE 1",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007913946",
"telephone_number": "787-850-9246",
"fax_number": "787-285-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIN ROBERTO",
"first_name": "TATIANA",
"credential": "PHARMACY TECH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "9610",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "6015022",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.