Vanity Priscilla Rosario Diaz, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21605 Issued in PR

Practice address

2435 Blvd Luis a Ferre
Ponce, PR 00717-2112

Phone

(939) 405-8735

NPI assigned

Nov 19, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1720624349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 17537",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279501",
            "telephone_number": "939-405-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 BLVD LUIS A FERRE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172112",
            "telephone_number": "939-405-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO DIAZ",
        "first_name": "VANITY",
        "middle_name": "PRISCILLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Beatriz Rosaly, PHARMACIST
• William Edgardo Rosaly
• Jonothan Andrew Rosario Colon
• Karla Rosario Curcio
• Ivia Nell Rosario Desarden, M.S. CCC-SLP
• Ilia Cristina Rosario Nieves, PHD
• Karla Jinely Rosario Pacheco, BS
• Janisse Rosario Quinones, MD
• Luann Michelle Rosario
• Yamil Rosario

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.