Wilmarie Cervoni, CPHT – Pharmacy Technician

Key facts

NPI: 1992907422
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacy Technician 183700000X
License: 5937 (PR)
Practice address: 963 Munoz Rivera St.
Penuelas, PR 00624
Phone: (787) 836-2173
Fax: (787) 836-6102
NPI assigned: Jun 5, 2007
Sex: Female
Sole proprietor: Yes

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.

Innovageniuscore LLC Community/Retail Pharmacy · Penuelas, PR · NPI 1376679258

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
5937	PR	MD	Pharmacy Technician

Practice roles

Organization	Specialty	Status	New patients
Innovageniuscore LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacy Technician	183700000X	5937	PR	Yes

Addresses

Primary practice location

963 Munoz Rivera St.
Penuelas, PR 00624

Mailing address

PO Box 560615
Guayanilla, PR 00656-0615
Phone (787) 415-1668

Other identifiers

Identifier	Type	State	Issuer
5937	Other	PR	CPHT

Other providers in Penuelas, PR

All providers in Penuelas, PR · Pharmacy Technician in Puerto Rico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.