Active NPI
Ilean Y. Gonzalez, PHARMACY TECHNICIAN
- Pharmacy Technician
- Carolina, PR
National Provider Identifier
1811187610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 1771
- Practice address
- Monserrate Shopping Center Monserrate
Avenue, Roberto Clemente Corner
Carolina, PR 00985 - Phone
- (787) 276-1927
- Fax
- (787) 762-4070
- NPI assigned
- Jul 27, 2007
- Last updated
- Jul 27, 2007
- 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 | 1771 | PR | Primary |
Addresses
Primary practice location
Monserrate Shopping Center Monserrate
Avenue, Roberto Clemente Corner
Carolina, PR 00985
Mailing address
55 2 H 36
Metropolis
Carolina, PR 00987
Phone (787) 276-1927
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 |
|---|---|---|---|
| 1771 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185494400000",
"number": "1811187610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 2 H 36",
"address_2": "METROPOLIS",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-276-1927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MONSERRATE SHOPPING CENTER MONSERRATE",
"address_2": "AVENUE, ROBERTO CLEMENTE CORNER",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-276-1927",
"fax_number": "787-762-4070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ILEAN",
"middle_name": "Y.",
"name_prefix": "Mrs.",
"credential": "PHARMACY TECHNICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-27",
"last_updated": "2007-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "1771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.