Individual provider Active NPI

Dariana Ortiz

  • Pharmacist
  • Bayamon, PR
National Provider Identifier
1053718650
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6183 Issued in PR
Practice address
#7788 Carretera #167 Avenida Las Cumbres
Farmacia Kmar Plaza Mayor
Bayamon, PR 00956-0000
Phone
(787) 730-2640
NPI assigned
Nov 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6183 PR Primary

Addresses

Primary practice location

#7788 Carretera #167 Avenida Las Cumbres
Farmacia Kmar Plaza Mayor
Bayamon, PR 00956-0000

Mailing address

3001 Calle Calandria
Urb Hacienda El Pilar
Toa Alta, PR 00953-9437

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

State licenses

LicenseStateTypeSpecialty
6183PRMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1053718650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 CALLE CALANDRIA",
            "address_2": "URB HACIENDA EL PILAR",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009539437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#7788 CARRETERA #167 AVENIDA LAS CUMBRES",
            "address_2": "FARMACIA KMAR PLAZA MAYOR",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009560000",
            "telephone_number": "787-730-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "DARIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.