Organization Active NPI

VD Allergy Institute LLC.

  • Allergy & Immunology Physician
  • San Juan, PR
National Provider Identifier
1609448083
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
VD ALLERGY INSTITUTE LLC.
Practice address
400 Ave Domenech Ste 408
San Juan, PR 00918-3706
Phone
(787) 622-2012
Fax
(713) 554-2137
NPI assigned
Jul 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Dr. Veronica C Diaz Vidal, MDNPI 1093176927
Title
Allergist Immunologist
Phone
(787) 764-4309

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
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

400 Ave Domenech Ste 408
San Juan, PR 00918-3706

Mailing address

94 Ramal 842 Apt 127
San Juan, PR 00926-3908

Other practice location 1

Metro Plaza L32 Ave Jose Garrido
Parque Industrial Villa Blanca
Caguas, PR 00725-1942
Phone (787) 746-3848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230803001993 PR Part B Supplier - Clinic/Group Practice 9638530876 Receives reassigned benefits from 2 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

1 Ave Casa Linda
Ste 101ROUTE
Bayamon, PR 00959

400 Ave Domenech
Ste 408
San Juan, PR 00918
Phone (787) 622-2012

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1609448083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 RAMAL 842 APT 127",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE DOMENECH STE 408",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183706",
            "telephone_number": "787-622-2012",
            "fax_number": "713-554-2137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Metro Plaza L32 Ave Jose Garrido",
            "address_2": "Parque Industrial Villa Blanca",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007251942",
            "country_code": "US",
            "telephone_number": "787-746-3848",
            "fax_number": "787-789-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VD ALLERGY INSTITUTE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "DIAZ VIDAL",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ALLERGIST IMMUNOLOGIST",
        "authorized_official_telephone_number": "787-764-4309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.