TATIANA IVELISSE CARRAQUILLO ROSA (NPI# 1114488749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114488749 |
| Entity Type | Individual |
| Full Name | TATIANA IVELISSE CARRAQUILLO ROSA |
| Credential | CPTH |
| Practice Address |
Bo Ceiba Norte Carr 31 Km 24.5 Juncos PR 00777 |
| Mailing Address |
109 Calle Jose Tous Soto San Lorenzo PR 00754 |
| Practice Telephone | 7877052239 |
| Practice Fax Number | 8885806779 |
| Mailing Telephone | 7873886209 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 12056 | PR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | DRIVER'LICENCE | 6564767 | 01 |
| Street Address |
BO CEIBA NORTE CARR 31 KM 24.5 |
| City | JUNCOS |
| State | PR |
| Zip Code | 00777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678321 | Debiam Olmeda | Social Worker | Carr. 929 Km 1.5 Bo. Lirios, Juncos, PR 00777 | 2020-10-30 |
| 1932725090 | Michelle Marie Torres Merstre | Psychologist | Urb La Ceiba Calle Caobo 89, Juncos, PR 00777 | 2020-06-24 |
| 1578199717 | Lourdes Del R. Umpierre Fernandez | Psychologist | Villas De La Central Victoria D-21, Calle Conuco, Juncos, PR 00777 | 2020-03-19 |
| 1669004420 | Rlr LLC | Pharmacy | Paseo Escute #58, Suite 2 Sector Mamey, Juncos, PR 00777 | 2020-02-10 |
| 1255974986 | Yesenia Santana | Psychologist | K 20.1 Bario Pinas Km 20.1, Juncos, PR 00777 | 2019-10-25 |
| 1346890159 | Jessica Alicea Barriera | Technician/Technologist | Urb Paseo De La Ceiba 212 Calle Areca, Juncos, PR 00777 | 2019-09-13 |
| 1245891373 | S&d Healthcare Solutions LLC | Spec/Tech, Health Info | Urb Lirios Cala, B39 Calle San Felipe, Juncos, PR 00777 | 2019-06-28 |
| 1609437037 | Ludy E. Reyes Gonzalez | Ambulance | I18 Calle Cindya, Urb El Encanto, Juncos, PR 00777 | 2019-06-26 |
| 1013578426 | Alexander Castro Acevedo | General Practice | Carr 31 Km 20.5 Sector Rosalia, Barrio Gurabo Arriba, Juncos, PR 00777 | 2019-06-26 |
| 1548825706 | Mely Z Gonzalez Madera V | Social Worker | Urbanizacion Villas Central Victoria, 17 Calle Escarpia, Juncos, PR 00777 | 2019-05-03 |
| Find all providers in zip 00777 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438500 | Ana O Curiel | Pharmacy Technician | 9 Carr 31 # Km, Juncos, PR 00777-3894 | 2020-02-11 |
| 1235638636 | Janerilis Pagan | Pharmacy Technician | 16 Calle Doctor Barreras, Farmacia Borinquen, Juncos, PR 00777-0077 | 2018-02-12 |
| 1518487834 | Nelcha Chiclana Montanez | Pharmacy Technician | 219 Virginia Valley Ct, Juncos, PR 00777 | 2017-06-27 |
| 1114389582 | Enid Sandoval | Pharmacy Technician | 144 Calle Pina, Senderos De Juncos, Juncos, PR 00777 | 2016-03-24 |
| 1124400940 | Lourdes Enid Collazo | Pharmacy Technician | Box 8748, Juncos, PUERTO RICO 00777 | 2015-06-29 |
| 1205228137 | Elba Ortiz | Pharmacy Technician | 16 Calle Dr Barreras, Juncos, PR 00777-3214 | 2015-03-02 |
| 1447501499 | Alejandro Cruz | Pharmacy Technician | Hc 2 Box 10337, Juncos, PR 00777-9605 | 2012-09-29 |
| 1679863500 | Edmanuel Galarza Martinez | Pharmacy Technician | Urb Lirios Cala C-san Luis W 424, Juncos, PR 00777 | 2011-04-12 |
| 1205134004 | Delmarie Izquierdo | Pharmacy Technician | Urb Lirios Cala Calle San Luis W-424, Juncos, PR 00777 | 2011-03-03 |
| 1871726836 | Catherine Correa | Pharmacy Technician | Calle 4-a E-12, Praderas De Ceiba Norte, Juncos, PR 00777 | 2009-08-25 |
| Find all providers in JUNCOS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.