Individual provider Active NPI

Michael Diaz-Guzman, RPH

  • Pharmacist
  • Aguas Buenas, PR
National Provider Identifier
1194051086
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2185 Issued in PR
Practice address
Carr 156 KM 49.0
Aguas Buenas, PR 00703-1202
Phone
(787) 732-4799
Fax
(787) 732-4799
NPI assigned
Oct 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2185 PR Primary

Addresses

Primary practice location

Carr 156 KM 49.0
Aguas Buenas, PR 00703-1202

Mailing address

PO Box 1202
Aguas Buenas, PR 00703-1202
Phone (787) 732-4799

Other identifiers 1

IdentifierTypeStateIssuer
2185OtherPRSTATE PHARMACY LICENCE

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
2185PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia Nueva 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1194051086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1202",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007031202",
            "telephone_number": "787-732-4799",
            "fax_number": "787-732-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 156 KM 49.0",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007031202",
            "telephone_number": "787-732-4799",
            "fax_number": "787-732-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-GUZMAN",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "2185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENCE",
            "identifier": "2185",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguas Buenas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.