Individual provider Active NPI

Karla Michelle Diaz, CERT.010858

  • Pharmacy Technician
  • Cayey, PR
National Provider Identifier
1396499646
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
010858 Issued in PR
Practice address
174 Calle Luis Barreras S
Cayey, PR 00736-4615
Phone
(787) 738-3011
Fax
(787) 738-0042
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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 010858 PR Primary

Addresses

Primary practice location

174 Calle Luis Barreras S
Cayey, PR 00736-4615

Mailing address

E8 Calle 13
Jardines de Cayey 1
Cayey, PR 00736-4042
Phone (787) 450-4841

Other identifiers 1

IdentifierTypeStateIssuer
010858OtherPRPMP

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
010858PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1396499646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E8 CALLE 13",
            "address_2": "JARDINES DE CAYEY 1",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364042",
            "telephone_number": "787-450-4841",
            "fax_number": "787-738-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 CALLE LUIS BARRERAS S",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364615",
            "telephone_number": "787-738-3011",
            "fax_number": "787-738-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "KARLA",
        "middle_name": "MICHELLE",
        "credential": "CERT.010858",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "010858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMP",
            "identifier": "010858",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.