Irma Diaz, BSPH

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4909 Issued in PR

Practice address

Carr. No. 2 KM. 26.2
Bo. Espinosa
Dorado, PR 00664-0000

Phone

(787) 882-2700

NPI assigned

Feb 8, 2012

Last updated

Jan 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1033481874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006050780",
            "telephone_number": "787-882-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. NO. 2 KM. 26.2",
            "address_2": "BO. ESPINOSA",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006640000",
            "telephone_number": "787-882-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "IRMA",
        "name_prefix": "Ms.",
        "credential": "BSPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "4909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4909",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "idiaz@optimahealthpr.com",
            "affiliation": "N",
            "endpointDescription": "Work e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "Carr. No. 2 Km. 26.2",
            "address_2": "Bo. Espinosa",
            "city": "Dorado",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006640000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diabetic Supply Foundation of Suncoast, Inc
• Adriana Beatriz Diaz Bula, PHARMD
• Evelyn Diaz-Perez, RPH
• Evelyn Diaz
• Hilda Diaz
• Mariely Diaz, RPH
• Dora-Care Paharmacy LLC
• Dorado Community Health Inc
• Dorado Community Health Inc (Dorado Community Health Inc Laboratory)
• Dorado Family Dental Center PSC

• Community/Retail Pharmacy in Dorado, PR
• Providers in Dorado, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.