Daliana Vazquez-Nieves
Individual provider Active NPI Pharmacist · Juncos, PR
NPI 1487011979 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1487011979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5144 (PR)
- Practice address
- State Road 31 KM. 24.0 Bo. Ceiba Norte
Juncos, PR 00777 - Phone
- (787) 713-1441
- Fax
- (787) 713-1425
- NPI assigned
- Jan 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS54329 | FL | MD | Pharmacist |
| 5144 | PR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS54329 | FL | |
| Pharmacist | 183500000X | 5144 | PR | Yes |
Addresses
Primary practice location
State Road 31 KM. 24.0 Bo. Ceiba Norte
Juncos, PR 00777
Mailing address
27 Calle Cayacoa
Juncos, PR 00777-4625
Phone (787) 366-0948
Other providers in Juncos, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.