Individual provider Active NPI

Wilnelia Suarez

  • Pharmacy Technician
  • San Juan, PR
National Provider Identifier
1487865416
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
4398 Issued in PR
Practice address
255 Calle San Francisco
Old San Juan
San Juan, PR 00901-1724
Phone
(787) 722-0335
Fax
(787) 725-8292
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4398 PR Primary

Addresses

Primary practice location

255 Calle San Francisco
Old San Juan
San Juan, PR 00901-1724

Mailing address

PMB 182
Campo Rico Ave. 779
San Juan, PR 00924-0000
Phone (787) 562-8296

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
4398PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Supertienda Familiar Inc Past Accepting new patients
Farmacia Luma 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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487865416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 182",
            "address_2": "CAMPO RICO AVE. 779",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009240000",
            "telephone_number": "787-562-8296",
            "fax_number": "787-757-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CALLE SAN FRANCISCO",
            "address_2": "OLD SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009011724",
            "telephone_number": "787-722-0335",
            "fax_number": "787-725-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "WILNELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "4398",
            "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.

Verify at the official NPI Registry.