Ivelisse Diaz

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

8121 Issued in PR

Practice address

88 Carr 2
Manati, PR 00674-5469

Phone

(787) 854-8450

Fax

(787) 854-8459

NPI assigned

May 13, 2021

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

State licenses

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.

• Caribe Pharmacy Management LLC

  • Community/Retail Pharmacy
  • Carolina, PR
  • NPI 1194268482
  NPD (past)
• Caribe Pharmacy Management LLC

  • Community/Retail Pharmacy
  • Manati, PR
  • NPI 1831477496
  NPD (past)

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1235703448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CARR 2",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745469",
            "telephone_number": "787-854-8450",
            "fax_number": "787-854-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CARR 2",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745469",
            "telephone_number": "787-854-8450",
            "fax_number": "787-854-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "IVELISSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "8121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rx07967@cvshealth.com",
            "affiliation": "N",
            "address_1": "88 Carr 2",
            "city": "Manati",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006745469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lillybeth Diaz Valedon, PHYD
• Ralph Diaz-Colon, MD
• Manuel G. Diaz-Lugo, MD
• Raquel Diaz-Montalvo
• Aneska Rosario Diaz Sr., PSICOLOGIST CLINICO
• Rose Yaritza Diaz, ND
• Dibaz Enterprises
• Jose Raul Dieppa Ramos, MD
• Doctor'S Center Hematology & Oncology Group, PSC
• Doctor'S Center Hematology & Oncology Group, PSC

• Pharmacy Technician in Manati, PR
• Providers in Manati, PR by specialty
• Pharmacy Technician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.