Individual provider Active NPI

Luz Maria Miranda

  • Pharmacy Technician
  • San Juan PR, PR
National Provider Identifier
1689352577
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
5283 Issued in PR
Practice address
Edif. San Juan Health Centre
150 Ave. de Diego
San Juan PR, PR 00907
Phone
(787) 725-8073
Fax
(787) 725-1721
NPI assigned
Jul 10, 2023
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 5283 PR Primary

Addresses

Primary practice location

Edif. San Juan Health Centre
150 Ave. de Diego
San Juan PR, PR 00907

Mailing address

Edif. San Juan Health Centre
150 Ave. de Diego
San Juan PR, PR 00907
Phone (787) 725-8073

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
5283PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1689352577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIF. SAN JUAN HEALTH CENTRE",
            "address_2": "150 AVE. DE DIEGO",
            "city": "SAN JUAN PR",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-725-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF. SAN JUAN HEALTH CENTRE",
            "address_2": "150 AVE. DE DIEGO",
            "city": "SAN JUAN PR",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-725-8073",
            "fax_number": "787-725-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "LUZ",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "5283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan PR, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.