Maria de Lourdes Diaz-Otero, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

2634 Issued in PR

Practice address

Ave Santa Ana #262
Centro Comercial Santa Ana
Guaynabo, PR 00969

Phone

(787) 272-1205

Fax

(787) 720-9379

NPI assigned

May 18, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1720296247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE SANTA ANA #262",
            "address_2": "CENTRO COMERCIAL SANTA ANA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-272-1205",
            "fax_number": "787-720-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE SANTA ANA #262",
            "address_2": "CENTRO COMERCIAL SANTA ANA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-272-1205",
            "fax_number": "787-720-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-OTERO",
        "first_name": "MARIA DE LOURDES",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "2634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR PHARMACIST LICENSE",
            "identifier": "2634",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos J Diaz Rivera, 1203P
• Michell Diaz Rodriguez, 0862P
• David Alejandro Diaz Rubayo, DMD
• Angel D Diaz Santana
• Myrna E. Diaz-Ortiz
• Marlen Nicole Diaz-Pou, M.D.
• Edna Cristina Diaz-Sierra, PHARMD
• Jessibel M Diaz, M.A.
• Manuel A. Diaz, M.D.
• Maria Elena Diaz, RPH

• Pharmacist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.