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

Last updated

Mar 20, 2022By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vidima Corporation

  dba Farmacia Santa Ana

  • 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.