Individual provider Active NPI

Edna Milagros Oliveras Diaz, RPH

  • Pharmacist
  • Toa Alta, PR
National Provider Identifier
1740440858
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5060 Issued in PR
Practice address
41 Calle Princesa
Est de la Fuente
Toa Alta, PR 00953-3608
Phone
(787) 251-8650
Fax
(787) 251-8650
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5060 PR Primary

Addresses

Primary practice location

41 Calle Princesa
Est de la Fuente
Toa Alta, PR 00953-3608

Mailing address

41 Calle Princesa
Est de la Fuente
Toa Alta, PR 00953-3608
Phone (787) 251-8650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5060PRMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1740440858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CALLE PRINCESA",
            "address_2": "EST DE LA FUENTE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533608",
            "telephone_number": "787-251-8650",
            "fax_number": "787-251-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CALLE PRINCESA",
            "address_2": "EST DE LA FUENTE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533608",
            "telephone_number": "787-251-8650",
            "fax_number": "787-251-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERAS DIAZ",
        "first_name": "EDNA",
        "middle_name": "MILAGROS",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "5060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.