Carmen Yajaira Gomez, PHARMACIST TECH

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

11562 Issued in PR

Practice address

Urb. Santa Clara Carr 9931 Suite 1
San Lorenzo, PR 00754

Phone

(787) 687-7997

Fax

(787) 687-7994

NPI assigned

Oct 22, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1942776547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SANTA CLARA CARR 9931 SUITE 1",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-687-7997",
            "fax_number": "787-687-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. SANTA CLARA CARR 9931 SUITE 1",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-687-7997",
            "fax_number": "787-687-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "CARMEN",
        "middle_name": "YAJAIRA",
        "name_prefix": "Mrs.",
        "credential": "PHARMACIST TECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "11562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS",
            "identifier": "4678295",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maribel Garcia, PSY.D.
• Yarithza Garcia, MS
• Griselle Gerena Ramirez, MD
• GGR Medical Services, Inc.
• Carmen M Gomez- Milian, PSY.D.
• Sheilie Marie Gomez
• Zulma Ivelisse Gomez, R.PH
• Jashira Marie Gonzalez Garcia
• Vanessa Gonzalez, PHARMACIST TECH
• Iris Marisol Grau, MD

• Pharmacy Technician in San Lorenzo, PR
• Providers in San Lorenzo, PR by specialty
• Pharmacy Technician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.