Individual provider Active NPI

Eydie Maralyz Gonzalez del Olmo, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Barceloneta, PR
National Provider Identifier
1982414082
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
011191 Issued in PR
Practice address
9 Calle Georgetti
Barceloneta, PR 00617-2712
Phone
(787) 846-3474
NPI assigned
Jan 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 011191 PR Primary

Addresses

Primary practice location

9 Calle Georgetti
Barceloneta, PR 00617-2712

Mailing address

HC 1 Box 2868
Sabana Hoyos, PR 00688-8842
Phone (787) 462-1306

Other identifiers 2

IdentifierTypeStateIssuer
011191OtherPRPHARAMCY TECHNICIAN LICENSE
00200146OtherPRREGISTRO DE TECNICO DE FARMACIA

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

LicenseStateTypeSpecialty
011191PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia San Martin Barceloneta Inc PastSince Jan 12, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1982414082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 2868",
            "city": "SABANA HOYOS",
            "state": "PR",
            "postal_code": "006888842",
            "telephone_number": "787-462-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CALLE GEORGETTI",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172712",
            "telephone_number": "787-846-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ DEL OLMO",
        "first_name": "EYDIE",
        "middle_name": "MARALYZ",
        "name_prefix": "Miss",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "011191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARAMCY TECHNICIAN LICENSE",
            "identifier": "011191",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRO DE TECNICO DE FARMACIA",
            "identifier": "00200146",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.