Individual provider Active NPI

Guinnevere Miranda

  • Pharmacy Technician
  • Vega Alta, PR
National Provider Identifier
1447836044
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
8197 Issued in PR
Practice address
6109 Carr 694
Vega Alta, PR 00692-9781
Phone
(787) 270-0460
Fax
(787) 270-0475
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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 8197 PR Primary

Addresses

Primary practice location

6109 Carr 694
Vega Alta, PR 00692-9781

Mailing address

HC 5 Box 9706
Corozal, PR 00783-9656

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
8197PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caribe Pharmacy Management LLC CurrentSince May 26, 2024 Accepting new patients
Caribe Pharmacy Management LLC PastSince Mar 28, 2021 Accepting new patients

Locations

6109 Carr 694
Vega Alta, PR 00692
Phone (787) 270-0460

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1447836044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 9706",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007839656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6109 CARR 694",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006929781",
            "telephone_number": "787-270-0460",
            "fax_number": "787-270-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "GUINNEVERE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "8197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.