Active NPI
Ruben Feliciano Collazo
- Pharmacy Technician
- San Juan, PR
National Provider Identifier
1720768286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 10109
- Practice address
- 65 Infanteria Shopping Court Ste 101
San Juan, PR 00926 - Phone
- (787) 767-1636
- NPI assigned
- Jul 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 10109 | PR | Primary |
Addresses
Primary practice location
65 Infanteria Shopping Court Ste 101
San Juan, PR 00926
Mailing address
Calle 53a Az17 Venusgardens
San Juan, PR 00926
Phone (787) 608-7440
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 |
|---|---|---|---|
| 10109 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1720768286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE 53A AZ17 VENUSGARDENS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-608-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 INFANTERIA SHOPPING COURT STE 101",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-767-1636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICIANO COLLAZO",
"first_name": "RUBEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "10109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Aileem E Feijoo, MS-SLP
- Kimberly Ann Feliberti Ramos, MD
- Geishamarie Feliciano -de Jesus, DMD
- Fabiola Feliciano Bonilla, MD
- Angela I Feliciano Caraballo, FNP
- Anibal Feliciano Deliz, MD
- Wilmer Enrique Feliciano Figueroa
- Vidalina Feliciano Lopez, PH.D.
- Nahir Feliciano Perez, DC
- Janice Feliciano Roman, DRA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.