Organization Active NPI

Carmen Diaz

Doing business as Miramar Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • San Juan, PR
National Provider Identifier
1497843965
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1281640001 Issued in PR
Legal business name
CARMEN DIAZ
Doing business as
Miramar Medical Supply
Practice address
518 Calle Dresde
Puerto Nuevo
San Juan, PR 00920-3731
Phone
(787) 706-0209
Fax
(787) 774-5991
NPI assigned
Oct 10, 2006
Last updated
Mar 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Mrs. Carmen DiazNPI 1144491945
Title
Owner
Phone
(787) 706-0209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1281640001 PR Primary

Addresses

Primary practice location

518 Calle Dresde
Puerto Nuevo
San Juan, PR 00920-3731

Mailing address

39 Street Urb. Santa Juantita
Uu 1 PMB 117
Bayamon, PR 00956
Phone (787) 706-0209

Other names 1

  • Miramar Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

518 Calle Dresde
San Juan, PR 00920
Phone (787) 706-0209

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1497843965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 STREET URB. SANTA JUANTITA",
            "address_2": "UU 1 PMB 117",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-706-0209",
            "fax_number": "787-774-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 CALLE DRESDE",
            "address_2": "PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009203731",
            "telephone_number": "787-706-0209",
            "fax_number": "787-774-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN DIAZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-706-0209",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "1281640001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miramar Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.