Active NPI
Valerie Mellie Estrada Diaz, PHARMD
- Pharmacist
- Caguas, PR
National Provider Identifier
1144860842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6697
- Practice address
- 39 Calle Gautier Benitez
Caguas, PR 00725-3614 - Phone
- (787) 743-5935
- NPI assigned
- Jan 10, 2020
- Last updated
- Jan 10, 2020
- 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 | 6697 | PR | Primary |
Addresses
Primary practice location
39 Calle Gautier Benitez
Caguas, PR 00725-3614
Mailing address
PO Box 6838
Caguas, PR 00726-6838
Phone (787) 378-6559
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 |
|---|---|---|---|
| 6697 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidima Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1144860842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6838",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007266838",
"telephone_number": "787-378-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 CALLE GAUTIER BENITEZ",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007253614",
"telephone_number": "787-743-5935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA DIAZ",
"first_name": "VALERIE",
"middle_name": "MELLIE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-10",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
- Elena Escribano, PHARMACY TECHNICIAN
- Escuela de Medicina San Juan Bautista
- Esencia Plena Servicios Psicologicos
- Esperanza Hacia Un Nuevo Amanecer
- Doris Margarita Esteras, MD
- Francisco Manuel Estrada Fernandez, M.D.
- Irma Y Estrada Rodriguez, PHARM D
- Jose Francisco Estrada
- Estudio de Ginecologia Y Obstetricia
- Everis Home Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.