Individual provider Active NPI

Dializza Vega Velez, PHARMD

  • Pharmacist
  • Bayamon, PR
National Provider Identifier
1164068599
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6638 Issued in PR
Practice address
Carr. 167 K.M. 15.4
Bo. Buena Vista
Bayamon, PR 00956
Phone
(787) 620-9613
Fax
(787) 797-8334
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6638 PR Primary

Addresses

Primary practice location

Carr. 167 K.M. 15.4
Bo. Buena Vista
Bayamon, PR 00956

Mailing address

Cond. la Arboleda 87 Carr. 20 Apto. 1602
Guaynabo, PR 00966-4044
Phone (787) 244-4089

Other practice location 1

Cond. La Arboleda 87 Carr. 20 Apto. 1602
Guaynabo, PR 00966-4044
Phone (787) 244-4089

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

LicenseStateTypeSpecialty
6638PRMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1164068599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND. LA ARBOLEDA 87 CARR. 20 APTO. 1602",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009664044",
            "telephone_number": "787-244-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 167 K.M. 15.4",
            "address_2": "BO. BUENA VISTA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-620-9613",
            "fax_number": "787-797-8334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cond. La Arboleda 87 Carr. 20 Apto. 1602",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "009664044",
            "country_code": "US",
            "telephone_number": "787-244-4089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA VELEZ",
        "first_name": "DIALIZZA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.