Active NPI
VD Allergy Institute LLC.
- Allergy & Immunology Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Veronica C Diaz Vidal, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Allergy & Immunology Physician
- San Juan, PR
- NPI 1093176927
-
- Allergy & Immunology Physician
- Hato Rey, PR
- NPI 1205330735
-
- Neurology with Special Qualifications in Child Neurology Physician
- San Juan, PR
- NPI 1013399138
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.