Active NPI
Eydie Maralyz Gonzalez del Olmo, PHARMACY TECHNICIAN
- Pharmacy Technician
- Barceloneta, PR
National Provider Identifier
1982414082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 011191
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011191 | Other | PR | PHARAMCY TECHNICIAN LICENSE |
| 00200146 | Other | PR | REGISTRO 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
| License | State | Type | Specialty |
|---|---|---|---|
| 011191 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmacia San Martin Barceloneta Inc | Past | 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.
-
- Community/Retail Pharmacy
- Barceloneta, PR
- NPI 1720160476
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.