Organization Active NPI

Optima Infusion Pharmacy Inc

Doing business as Optima Health

  • Pharmacy
  • Dorado, PR
National Provider Identifier
1063525210
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
07F2314 Issued in PR
Legal business name
OPTIMA INFUSION PHARMACY INC
Doing business as
Optima Health
Practice address
Carr 2 KM 26.2
Espinosa Ward
Dorado, PR 00646
Phone
(787) 883-5959
Fax
(787) 883-6042
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Dr. Mariely Diaz, PHARMDNPI 1861746836
Title
President
Phone
(787) 883-5957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Pharmacy 333600000X 07F2314 PR Primary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X

Addresses

Primary practice location

Carr 2 KM 26.2
Espinosa Ward
Dorado, PR 00646

Mailing address

HC - 03 Box 7525
Dorado, PR 00646-9539
Phone (787) 883-5959

Other names 1

  • Optima Health Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1063525210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC - 03 BOX 7525",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006469539",
            "telephone_number": "787-883-5959",
            "fax_number": "787-883-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 26.2",
            "address_2": "ESPINOSA WARD",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-883-5959",
            "fax_number": "787-883-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA INFUSION PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIELY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-883-5957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "07F2314",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optima Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optima Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.