Rut E Caraballo
Individual provider Active NPI Pharmacy Technician · Gauyanabo, PR
NPI 1922474170 · NPPES record last updated Aug 11, 2015
Key facts
- NPI
- 1922474170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 8437 (PR)
- Practice address
- Calle Casimiro Villegas
Sector Piedras Blancas
Gauyanabo, PR 00970-3756 - Phone
- (609) 271-1163
- NPI assigned
- Aug 11, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8437 | PR | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 8437 | PR | Yes |
Addresses
Primary practice location
Calle Casimiro Villegas
Sector Piedras Blancas
Gauyanabo, PR 00970-3756
Mailing address
PO Box 3756
Guaynabo, PR 00970-3756
Phone (609) 271-1163
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4666402 | Other | PR | DRIVERS LICENCE |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.