Active NPI
Jessica Rodriguez, PHARMACY TECHNICIAN
- Other Technician
- Guayama, PR
National Provider Identifier
1821255142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 4805
- Practice address
- 183 Calle H
Guayama, PR 00784-6809 - Phone
- (787) 420-3904
- NPI assigned
- May 22, 2008
- Last updated
- May 22, 2008
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 4805 | PR | Primary |
Addresses
Primary practice location
183 Calle H
Guayama, PR 00784-6809
Mailing address
Calle H 183 Bda Blondet
Guayama, PR 00784-6813
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 |
|---|---|---|---|
| 4805 | PR | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1821255142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE H 183 BDA BLONDET",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "007846813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 CALLE H",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "007846809",
"telephone_number": "787-420-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JESSICA",
"credential": "PHARMACY TECHNICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "PR",
"license": "4805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guayama, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.