Individual provider Active NPI

Vanessa Gonzalez, PHARMACIST TECH

  • Pharmacy Technician
  • San Lorenzo, PR
National Provider Identifier
1780151720
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
10455 Issued in PR
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

Updated by the provider on Oct 29, 2018

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 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

IdentifierTypeStateIssuer
5050822OtherPRDRIVERS

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.

Verify at the official NPI Registry.