Active NPI
Wanda Ivelisse Jusino Ramos, PHARMTECH
- Pharmacy Technician
- San German, PR
National Provider Identifier
1992587992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 4649
- Practice address
- KM 173.4 Bo Cain Bajo
San German, PR 00683 - Phone
- (787) 892-1860
- NPI assigned
- Oct 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 4649 | PR | Primary |
Addresses
Primary practice location
KM 173.4 Bo Cain Bajo
San German, PR 00683
Mailing address
2Da Ext El Valle Calle Gardenia 496
Lajas, PR 00667
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 |
|---|---|---|---|
| 4649 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1992587992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2DA EXT EL VALLE CALLE GARDENIA 496",
"city": "LAJAS",
"state": "PR",
"postal_code": "00667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KM 173.4 BO CAIN BAJO",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-892-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSINO RAMOS",
"first_name": "WANDA",
"middle_name": "IVELISSE",
"credential": "PHARMTECH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-16",
"last_updated": "2023-10-16",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "4649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San German, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.