Juan Carlos Ortiz-Diaz, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

4139 Issued in PR

Practice address

Walgreens 90 R Barcelo
Cidra, PR 00739

Phone

(787) 739-4351

Fax

(787) 739-4394

NPI assigned

Jun 1, 2011

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2011.

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1013201540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WALGREENS 90 R BARCELO",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-739-4351",
            "fax_number": "787-739-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALGREENS 90 R BARCELO",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-739-4351",
            "fax_number": "787-739-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-DIAZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oficina Medica del Dr. J.a. Burgos, C.S.P.
• Oficina Pediatrica Dra Evelyn Rivera
• Esperanza Orellana, RPTA
• Agneris Ortiz Rodriguez
• Glorynell Ortiz Rodriguez, PSYD
• Enid Magaly Ortiz, D.M.D.
• Jose A Ortiz, D.M.D
• Omayra Ortiz
• Paolamarie Ortiz, LND
• Karla Marie Otero

• All providers in Cidra, PR
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.