Active NPI
Maristely Roa
- Pharmacy Technician
- Hatillo, PR
National Provider Identifier
1891892196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 1369
- Practice address
- Carr. 490 KM. 3.2 Bo. Campo Alegre Sector Pajuil
Hatillo, PR 00659 - Phone
- (787) 820-1972
- Fax
- (787) 898-6239
- NPI assigned
- Sep 20, 2006
- 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 | 1369 | PR | Primary |
Addresses
Primary practice location
Carr. 490 KM. 3.2 Bo. Campo Alegre Sector Pajuil
Hatillo, PR 00659
Mailing address
PO Box 526
Hatillo, PR 00659-0526
Phone (787) 262-7237
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1891892196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 526",
"city": "HATILLO",
"state": "PR",
"postal_code": "006590526",
"telephone_number": "787-262-7237",
"fax_number": "787-898-6239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 490 KM. 3.2 BO. CAMPO ALEGRE SECTOR PAJUIL",
"city": "HATILLO",
"state": "PR",
"postal_code": "00659",
"telephone_number": "787-820-1972",
"fax_number": "787-898-6239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROA",
"first_name": "MARISTELY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "1369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.