Active NPI
Vivienne Marie Marrero-Bauza, PHARMD
- Pharmacist
- Juana Diaz, PR
National Provider Identifier
1043504269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5454
- Practice address
- Plaza Juana Diaz Carretera 149
Interseccion Carretera 584 Y 52
Juana Diaz, PR 00795-0000 - Phone
- (787) 837-7090
- Fax
- (787) 837-7090
- NPI assigned
- Jun 6, 2011
- Last updated
- Jun 6, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5454 | PR | Primary |
Addresses
Primary practice location
Plaza Juana Diaz Carretera 149
Interseccion Carretera 584 Y 52
Juana Diaz, PR 00795-0000
Mailing address
PO Box 445
Mercedita, PR 00715-0445
Phone (787) 718-9153
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5454 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1043504269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 445",
"city": "MERCEDITA",
"state": "PR",
"postal_code": "007150445",
"telephone_number": "787-718-9153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAZA JUANA DIAZ CARRETERA 149",
"address_2": "INTERSECCION CARRETERA 584 Y 52",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "007950000",
"telephone_number": "787-837-7090",
"fax_number": "787-837-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO-BAUZA",
"first_name": "VIVIENNE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-06",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Juana Diaz, PR
- Daniel Manfredy
- Wignelia Mangual
- Orlando Javier Marchena Nieves Jr., MD
- Maria J Lopez Aguado (Laboratorio Clinico Alhambra)
- Fabian Marin Martinez
- Yaritza Judith Marrero, O.D.
- Raymond Martinez Aponte, MD
- Miguel Angel Martinez Prado, MD
- Michael Wallace Martinez Rodriguez
- Yanixa Marie Martinez Santiago, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.