Glorimar Rivera Diaz, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7391 Issued in CT

Practice address

2 Batterson Park Rd
Farmington, CT 06032-2568

Phone

(860) 321-7082

NPI assigned

Dec 7, 2017

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

Other names 1

• Glorimar Rivera Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1679088017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 TUNXIS VLG",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321517",
            "telephone_number": "229-292-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BATTERSON PARK RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322568",
            "telephone_number": "860-321-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "GLORIMAR",
        "middle_name": "RIVERA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIMAR",
            "last_name": "RIVERA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashish Ramchandra Dhongade, M.D.
• Amy Di Mauro, LCSW
• Dialysis Clinic Inc.
• Patricia I Diaz-Moreno, DDS
• Anthony Diaz, MD
• Rubi R Diaz, APRN
• Alicia M Diclementi, OTR/L
• Kevin O Dieckhaus, MD
• Jennifer A Diederich, DMD
• Harrison Robert Dieuveuil, MD

• Family Nurse Practitioner in Farmington, CT
• Providers in Farmington, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.