Individual provider Active NPI

Yanitza Roman, 004889

  • Pharmacist
  • Hatillo, PR
National Provider Identifier
1306176698
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
004889 Issued in PR
Practice address
Carr 493 KM 0.5 Bo.Carrizales
Medical Professional Office Plaza Suite 111
Hatillo, PR 00659
Phone
(787) 243-6850
NPI assigned
Jan 8, 2010
Last updated
Nov 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 004889 PR Primary

Addresses

Primary practice location

Carr 493 KM 0.5 Bo.Carrizales
Medical Professional Office Plaza Suite 111
Hatillo, PR 00659

Mailing address

PO Box 141133
Arecibo, PR 00614-1133
Phone (787) 243-6850

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

LicenseStateTypeSpecialty
004889PRMDRadiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia del Atlantico Past Accepting new patients

Organizations & group practices 1

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": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1306176698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141133",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141133",
            "telephone_number": "787-243-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 493 KM 0.5 BO.CARRIZALES",
            "address_2": "MEDICAL PROFESSIONAL OFFICE PLAZA SUITE 111",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-243-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "YANITZA",
        "name_prefix": "Mrs.",
        "credential": "004889",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "004889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.