Vivianna M Mas-Kildare, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

6947 Issued in PR

Practice address

Urb. Parque Montebello
F-13 2ND Street
Trujillo Alto, PR 00976

Phone

(787) 909-1041

NPI assigned

Sep 16, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1376265249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9615 AVE LOS ROMEROS STE 1100",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267056",
            "telephone_number": "787-625-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. PARQUE MONTEBELLO",
            "address_2": "F-13 2ND STREET",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-909-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAS-KILDARE",
        "first_name": "VIVIANNA",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "vivianna.mas@optum.com",
            "affiliation": "N",
            "address_1": "urb. parque montebello",
            "address_2": "f-13 2nd street",
            "city": "trujillo alto",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Awilda C. Martinez, M.D.
• Elibet Martinez, OP
• Meylin Martinez, RN
• Migdalia Martinez, LPN
• Saribel Martinez, RPH
• Maria Matias
• Rosannie Matos Melendez, MSW
• Iris A Matos Rivera, M.S.W.
• Mayra Martinez
• Jose I Maysonet, MD

• Pharmacist in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.