Individual provider Active NPI

Maritza Cardona-Matos, CPHT

  • Pharmacy Technician
  • Rio Piedras, PR
National Provider Identifier
1467609586
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
2198 Issued in PR
Practice address
Ave Jesus T Pinedo 280 Suit B
CVS Specialty Pharmacy
Rio Piedras, PR 00927
Phone
(787) 759-4018
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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 2198 PR Primary

Addresses

Primary practice location

Ave Jesus T Pinedo 280 Suit B
CVS Specialty Pharmacy
Rio Piedras, PR 00927

Mailing address

PMB 112 Box 5005
San Lorenzo, PR 00754
Phone (787) 759-4018

Other identifiers 1

IdentifierTypeStateIssuer
2198OtherPRSTATE

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

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1467609586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 112 BOX 5005",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-759-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE JESUS T PINEDO 280 SUIT B",
            "address_2": "CVS SPECIALTY PHARMACY",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-759-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA-MATOS",
        "first_name": "MARITZA",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "2198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "2198",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.