Damaris Illas, TECH.

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

2123 Issued in PR

Practice address

455 Ave Ponce de Leon
Esq. Ruiz Belvis Floral Park
San Juan, PR 00917-3711

Phone

(787) 765-6768

Fax

(787) 765-5937

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780719864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE STA. ELENA 1697",
            "address_2": "URB. ALTAMESA",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-765-6768",
            "fax_number": "787-765-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 AVE PONCE DE LEON",
            "address_2": "ESQ. RUIZ BELVIS FLORAL PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173711",
            "telephone_number": "787-765-6768",
            "fax_number": "787-765-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLAS",
        "first_name": "DAMARIS",
        "credential": "TECH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "2123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Iglesias, M.D.,
• Norma A Iglesias, DMD
• Luis A Iguina, M.D.
• Ih Endo LLC
• Enrique Jose Illas Hernandez I, RN
• Imagenes Dinamicas, Inc.
• Imagenes Radiologicas del Caribe
• Imaging Development Corp
• Winston Segundo Imbert de Iturrondo, MD
• Manuel E Imbert Garraton, MD

• Pharmacy Technician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pharmacy Technician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.