Individual provider Active NPI

Lixmayra Rivera Santiago, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Ponce, PR
National Provider Identifier
1467914689
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
013060 Issued in PR
Practice address
8169 Calle Concordia
Cond San Vicente Suite 412
Ponce, PR 00717-1567
Phone
(787) 284-5884
Fax
(787) 284-5874
NPI assigned
Apr 5, 2019
Last updated
Apr 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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 013060 PR Primary

Addresses

Primary practice location

8169 Calle Concordia
Cond San Vicente Suite 412
Ponce, PR 00717-1567

Mailing address

8169 Calle Concordia
Cond San Vicente Suite 412
Ponce, PR 00717
Phone (787) 284-5884

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
013060PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1467914689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA",
            "address_2": "COND SAN VICENTE SUITE 412",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-284-5884",
            "fax_number": "787-284-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA",
            "address_2": "COND SAN VICENTE SUITE 412",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171567",
            "telephone_number": "787-284-5884",
            "fax_number": "787-284-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA SANTIAGO",
        "first_name": "LIXMAYRA",
        "name_prefix": "Mrs.",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "013060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.