Active NPI
Thalia Marie Roman Flores
- Pharmacy Technician
- Guaynabo, PR
National Provider Identifier
1417634387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 014732
- Practice address
- 35 Calle Juan C Borbon Ste 77
Guaynabo, PR 00969-5375 - Phone
- (787) 287-3725
- NPI assigned
- Jun 30, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 014732 | PR | Primary |
Addresses
Primary practice location
35 Calle Juan C Borbon Ste 77
Guaynabo, PR 00969-5375
Mailing address
35 Calle Juan C Borbon Ste 77
Guaynabo, PR 00969-5375
Phone (787) 287-3725
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 |
|---|---|---|---|
| 014732 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1688083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688256000000",
"number": "1417634387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 CALLE JUAN C BORBON STE 77",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695375",
"telephone_number": "787-287-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 CALLE JUAN C BORBON STE 77",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695375",
"telephone_number": "787-287-3725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN FLORES",
"first_name": "THALIA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-30",
"last_updated": "2023-07-02",
"certification_date": "2023-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "014732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.