Active NPI
Vanessa Gonzalez, PHARMACIST TECH
- Pharmacy Technician
- San Lorenzo, PR
National Provider Identifier
1780151720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 10455
- Practice address
- 150 Carr 9931 Ste 1
San Lorenzo, PR 00754-4533 - Phone
- (787) 687-7997
- Fax
- (787) 687-7994
- NPI assigned
- Oct 29, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 10455 | PR | Primary |
Addresses
Primary practice location
150 Carr 9931 Ste 1
San Lorenzo, PR 00754-4533
Mailing address
150 Carr 9931 Ste 1
San Lorenzo, PR 00754-4533
Phone (787) 687-7997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5050822 | Other | PR | DRIVERS |
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": "1540771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1780151720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CARR 9931 STE 1",
"city": "SAN LORENZO",
"state": "PR",
"postal_code": "007544533",
"telephone_number": "787-687-7997",
"fax_number": "787-687-7994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CARR 9931 STE 1",
"city": "SAN LORENZO",
"state": "PR",
"postal_code": "007544533",
"telephone_number": "787-687-7997",
"fax_number": "787-687-7994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "VANESSA",
"name_prefix": "Miss",
"credential": "PHARMACIST TECH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-29",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "10455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS",
"identifier": "5050822",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Lorenzo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.