Maritsa Ivette Diaz

Primary specialty

PharmacistTaxonomy code 183500000X

License

4301 Issued in PR

Practice address

39 Calle Gautier Benitez
Caguas, PR 00725-3614

Phone

(787) 743-5935

Fax

(787) 744-3020

NPI assigned

Mar 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vidima Corporation

  • Community/Retail Pharmacy
  • Caguas, PR
  • NPI 1194841932
  NPD (past) Authorized official

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1144979055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CALLE GAUTIER BENITEZ",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253614",
            "telephone_number": "787-743-5935",
            "fax_number": "787-744-3020"
        },
        {
            "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",
            "fax_number": "787-744-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARITSA",
        "middle_name": "IVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "farmacia.vidima@gmail.com",
            "affiliation": "N",
            "address_1": "39 Calle Gautier Benitez",
            "city": "Caguas",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007253614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gil Alberto Diaz, D.M.D.
• Karely Diaz, RN
• Linda J. Diaz
• Maria Carmen Diaz, D.M.D.
• Maria D Diaz, RN
• Myrna Iris Diaz, ENFERMERA
• Myrna S. Diaz, LIC.
• Diomedes Dieppa Mulero, MD
• Gabriella M Dieppa Ramos, PHARMD
• Rosiris Del Mar Dieppa

• Pharmacist in Caguas, PR
• Providers in Caguas, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; 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.