Zoila Raquel Encarnacion, CPHT

Individual provider Active NPI Pharmacy Technician · Penuelas, PR

NPI 1861695850 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1861695850
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
5883 (PR)
Practice address
963 Calle Munoz Rivera
Penuelas, PR 00624-1401
Phone
(787) 836-2173
Fax
(787) 836-6102
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5883PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovageniuscore LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 5883 PR Yes

Addresses

Primary practice location

963 Calle Munoz Rivera
Penuelas, PR 00624-1401

Mailing address

HC 2 Box 4965
Penuelas, PR 00624-9604
Phone (787) 836-3573

Other identifiers

IdentifierTypeStateIssuer
5883OtherPRCPHT LICENSE

Other providers in Penuelas, PR

All providers in Penuelas, PR · Pharmacy Technician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.