Individual provider Active NPI

Jose Raul Rivera Diaz, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Guaynabo, PR
National Provider Identifier
1790800811
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
1876 Issued in PR
Practice address
St Cecilio Urbina
Anexo Plaza del Mercado Local #5
Guaynabo, PR 00970
Phone
(787) 720-6336
NPI assigned
Mar 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1876 PR Primary

Addresses

Primary practice location

St Cecilio Urbina
Anexo Plaza del Mercado Local #5
Guaynabo, PR 00970

Mailing address

PO Box 1818
Guaynabo, PR 00970-1818
Phone (787) 720-6336

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
1876PRMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia Millie LLC PastSince Jun 22, 2021 Accepting new patients
Farmacia Millie Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790800811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1818",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009701818",
            "telephone_number": "787-720-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST CECILIO URBINA",
            "address_2": "ANEXO PLAZA DEL MERCADO LOCAL #5",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00970",
            "telephone_number": "787-720-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA DIAZ",
        "first_name": "JOSE",
        "middle_name": "RAUL",
        "name_prefix": "Mr.",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "1876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • 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.