Active NPI
Brenda I Gomez
- Pharmacy Technician
- Carolina, PR
National Provider Identifier
1275703159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 2120
- Practice address
- Cond Golden Tower # C8
Ave. Pontezuela
Carolina, PR 00983-1899 - Phone
- (787) 752-9955
- NPI assigned
- Mar 6, 2008
- 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 | 2120 | PR | Primary |
Addresses
Primary practice location
Cond Golden Tower # C8
Ave. Pontezuela
Carolina, PR 00983-1899
Mailing address
CC14 Calle 29
Urb Rio Grande State
Rio Grande, PR 00745-5073
Phone (787) 206-0102
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 |
|---|---|---|---|
| 2120 | PR | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1275703159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CC14 CALLE 29",
"address_2": "URB RIO GRANDE STATE",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007455073",
"telephone_number": "787-206-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND GOLDEN TOWER # C8",
"address_2": "AVE. PONTEZUELA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009831899",
"telephone_number": "787-752-9955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "BRENDA",
"middle_name": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "2120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.