Active NPI
Lisdimarie Rivera
- Pharmacy Technician
- Villalba, PR
National Provider Identifier
1932351053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 4497
- Practice address
- Carr 149 Ramal 513 KM 1.7
Bo Jagueyes
Villalba, PR 00766 - Phone
- (787) 450-9092
- NPI assigned
- Oct 21, 2008
- Last updated
- Oct 21, 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 4497 | PR | Primary |
Addresses
Primary practice location
Carr 149 Ramal 513 KM 1.7
Bo Jagueyes
Villalba, PR 00766
Mailing address
Carr 149 Ramal 513 KM 1.7
Bo Jagueyes
Villalba, PR 00766
Phone (787) 450-9092
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 |
|---|---|---|---|
| 4497 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1932351053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR 149 RAMAL 513 KM 1.7",
"address_2": "BO JAGUEYES",
"city": "VILLALBA",
"state": "PR",
"postal_code": "00766",
"telephone_number": "787-450-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 149 RAMAL 513 KM 1.7",
"address_2": "BO JAGUEYES",
"city": "VILLALBA",
"state": "PR",
"postal_code": "00766",
"telephone_number": "787-450-9092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "LISDIMARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "4497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Villalba, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.