Individual provider Active NPI

Miguel Angel Adorno Diaz, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • San Lorenzo, PR
National Provider Identifier
1346764339
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
11842 Issued in PR
Practice address
Portal del Sol
Calle 5 D9
San Lorenzo, PR 00754
Phone
(787) 507-7058
NPI assigned
Aug 1, 2017
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183700000X 11842 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Portal del Sol
Calle 5 D9
San Lorenzo, PR 00754

Mailing address

50 Calle Luna
Portal del Sol
San Lorenzo, PR 00754
Phone (787) 507-7058

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
11842OtherPRPHARMACY TECHNICIAN LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2017.

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1346764339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CALLE LUNA",
            "address_2": "PORTAL DEL SOL",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-507-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PORTAL DEL SOL",
            "address_2": "CALLE 5 D9",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-507-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADORNO DIAZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Mr.",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "11842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TECHNICIAN LICENSE",
            "identifier": "11842",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.