Jesus M. Diaz Delgado

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

BF9444958 Issued in PR

Legal business name

JESUS M. DIAZ DELGADO

Doing business as

Farmacia San Antonio

Practice address

Carr. 113 KM 13.6
Quebradillas, PR 00678

Phone

(787) 895-6707

Fax

(787) 895-6675

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mayra Toledo, RPHNPI 1780805937

Title

Owner and Pic

Phone

(787) 895-6707

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Farmacia San Antonio Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

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

• Mayra Toledo

  • Pharmacist
  • Quebradillas, PR
  • NPI 1780805937
  NPD Authorized official
• Edith Marie Rodriguez-Alicea, PHARMD.

  • Pharmacist
  • Barceloneta, PR
  • NPI 1831581396
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1144318783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1369",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591369",
            "telephone_number": "787-895-6707",
            "fax_number": "787-895-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 113 KM 13.6",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-895-6707",
            "fax_number": "787-895-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUS M. DIAZ DELGADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "OWNER AND PIC",
        "authorized_official_telephone_number": "787-895-6707",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "BF9444958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038102600",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4024977",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ana M Igartua Veray, M.D.
• Ijac
• Infinity Medical Care Inc
• J M Transport #1 Corp
• Jaime Abrams Mercado
• Idalis Jimenez Gonzalez, RPT
• Rose Mary Jimenez Gonzalez
• Angel M Jimenez Mercado, MD
• Carolina Jimenez Soto, DMD
• Erika Franchesca Jordan Collazo

• Community/Retail Pharmacy in Quebradillas, PR
• Providers in Quebradillas, 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 Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.