Active NPI
Diana A Paulino Rivera, PHARM D.
- Pharmacist
- San Juan, PR
National Provider Identifier
1124378369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5569
- Practice address
- 150 Calle F Vizcarrondo
San Juan, PR 00926-4483 - Phone
- (787) 755-1375
- Fax
- (787) 755-1340
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 5569 | PR | Primary |
Addresses
Primary practice location
150 Calle F Vizcarrondo
San Juan, PR 00926-4483
Mailing address
RR 36 Box 8124
San Juan, PR 00926-9561
Phone (787) 349-8547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5569 | Other | PR | 5569 |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1124378369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 36 BOX 8124",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009269561",
"telephone_number": "787-349-8547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CALLE F VIZCARRONDO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009264483",
"telephone_number": "787-755-1375",
"fax_number": "787-755-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULINO RIVERA",
"first_name": "DIANA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "5569",
"identifier": "5569",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.