Individual provider Active NPI

Luz I Diaz, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Maunabo, PR
National Provider Identifier
1508904202
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
4601
Practice address
Calle Barcelo #17
Tu Farmacia Familiar
Maunabo, PR 00707
Phone
(787) 861-4855
Fax
(787) 861-1056
NPI assigned
Feb 2, 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 4601 Primary

Addresses

Primary practice location

Calle Barcelo #17
Tu Farmacia Familiar
Maunabo, PR 00707

Mailing address

HC 02 Box 3708
Maunabo, PR 00707-9801
Phone (787) 391-5319

Other identifiers 1

IdentifierTypeStateIssuer
4601OtherPRLIC PHARMACY TECH

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508904202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 02 BOX 3708",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007079801",
            "telephone_number": "787-391-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BARCELO #17",
            "address_2": "TU FARMACIA FAMILIAR",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "00707",
            "telephone_number": "787-861-4855",
            "fax_number": "787-861-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LUZ",
        "middle_name": "I",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": "4601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC PHARMACY TECH",
            "identifier": "4601",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maunabo, 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.