Active NPI
Lisette Acevedo, TECH.
- Pharmacy Technician
- San Juan, PR
National Provider Identifier
1487799425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5365
- Practice address
- 455 Ponce de Leon
Esq. Ruiz Belvis, Floral Park
San Juan, PR 00917 - Phone
- (787) 207-2853
- Fax
- (787) 765-5937
- NPI assigned
- Feb 20, 2007
- 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 | 5365 | PR | Primary |
Addresses
Primary practice location
455 Ponce de Leon
Esq. Ruiz Belvis, Floral Park
San Juan, PR 00917
Mailing address
114-25 Calle 76
Urb. Villa Carolina
Carolina, PR 00985-4113
Phone (787) 207-2853
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 |
|---|---|---|---|
| 5365 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487799425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114-25 CALLE 76",
"address_2": "URB. VILLA CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009854113",
"telephone_number": "787-207-2853",
"fax_number": "787-765-5937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 PONCE DE LEON",
"address_2": "ESQ. RUIZ BELVIS, FLORAL PARK",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917",
"telephone_number": "787-207-2853",
"fax_number": "787-765-5937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO",
"first_name": "LISETTE",
"name_prefix": "Mrs.",
"credential": "TECH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "5365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.