Individual provider Active NPI

Rosaidys Mary Miranda

  • Pharmacy Technician
  • Ponce, PR
National Provider Identifier
1336728971
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
009779 Issued in PR
Practice address
2511 Ponce Byp
Ponce, PR 00717-1305
Phone
(787) 284-2500
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 009779 PR Primary

Addresses

Primary practice location

2511 Ponce Byp
Ponce, PR 00717-1305

Mailing address

2511 Ponce Byp
Ponce, PR 00717-1305
Phone (787) 284-2500

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
009779PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Caribe Pharmacy Management LLC CurrentSince May 26, 2024 Accepting new patients
Caribe Pharmacy Management LLC PastSince Apr 6, 2021 Accepting new patients

Locations

2511 Ponce Byp
Ponce, PR 00717
Phone (787) 284-2500

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1336728971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 PONCE BYP",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171305",
            "telephone_number": "787-284-2500",
            "fax_number": "787-284-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 PONCE BYP",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171305",
            "telephone_number": "787-284-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ROSAIDYS",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "009779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.