Active NPI
Stephanie Rodriguez
- Pharmacy Technician
- Manati, PR
National Provider Identifier
1386170116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 011694
- Practice address
- 54 Puerta de El Sol Suite 3
Manati, PR 00674-4973 - Phone
- (787) 884-4445
- NPI assigned
- May 11, 2017
- 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 | 011694 | PR | Primary |
Addresses
Primary practice location
54 Puerta de El Sol Suite 3
Manati, PR 00674-4973
Mailing address
3 Calle 16
Urb Factor 1
Arecibo, PR 00612
Phone (787) 597-2977
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 |
|---|---|---|---|
| 011694 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1386170116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CALLE 16",
"address_2": "URB FACTOR 1",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-597-2977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 PUERTA DE EL SOL SUITE 3",
"city": "MANATI",
"state": "PR",
"postal_code": "006744973",
"telephone_number": "787-884-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "011694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.