Active NPI
Ivelisse Rivera-Morales
- Pharmacy Technician
- Bayamon, PR
National Provider Identifier
1346578804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 7943
- Practice address
- 330 Ave Los Dominicos # Urb
Calle 28 Bloque 19 # 4
Bayamon, PR 00957-6707 - Phone
- (787) 450-4090
- NPI assigned
- Nov 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 7943 | PR | Primary |
Addresses
Primary practice location
330 Ave Los Dominicos # Urb
Calle 28 Bloque 19 # 4
Bayamon, PR 00957-6707
Mailing address
330 Ave Los Dominicos # Urb
Calle 28 Bloque 19 # 4
Bayamon, PR 00957-6707
Phone (787) 450-4090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7949 | Other | PR | PHARM TEC LIC |
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 |
|---|---|---|---|
| 7943 | PR | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1346578804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 AVE LOS DOMINICOS # URB",
"address_2": "CALLE 28 BLOQUE 19 # 4",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009576707",
"telephone_number": "787-450-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 AVE LOS DOMINICOS # URB",
"address_2": "CALLE 28 BLOQUE 19 # 4",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009576707",
"telephone_number": "787-450-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA-MORALES",
"first_name": "IVELISSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-20",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "7943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARM TEC LIC",
"identifier": "7949",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.