Individual provider Active NPI

Lyan Marie Porrata, PHARMD

  • Pharmacist
  • Ponce, PR
National Provider Identifier
1649816646
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
006735 Issued in PR
Practice address
1730 PR-506, Coto Laurel
Ponce, PR 00780
Phone
(787) 840-8801
NPI assigned
Nov 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 006735 PR Primary

Addresses

Primary practice location

1730 PR-506, Coto Laurel
Ponce, PR 00780

Mailing address

Urb la Alhambra Calle Granada 2102
Ponce, PR 00716
Phone (787) 232-3907

Other names 1

  • Dr. Lyan Marie Porrata Professional name

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
006735PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1649816646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LA ALHAMBRA CALLE GRANADA 2102",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-232-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 PR-506, COTO LAUREL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-840-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRATA",
        "first_name": "LYAN",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "006735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYAN",
            "last_name": "PORRATA",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DRA. LYAN PORRATA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Nov 25, 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.