Mariely Diaz, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5054 Issued in PR

Practice address

Carr 2 KM 26.2
Espinosa Ward
Dorado, PR 00646

Phone

(787) 883-5959

Fax

(787) 883-6040

NPI assigned

Oct 30, 2012

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optima Health RX, LLC

  • Pharmacy
  • Dorado, PR
  • NPI 1316686413
  NPD Authorized official
• Optima Infusion Pharmacy Inc

  • Pharmacy
  • Dorado, PR
  • NPI 1063525210
  NPD Authorized official
• Optima Infusion Pharmacy Inc

  • Home Health Agency
  • Dorado, PR
  • NPI 1609975010
  NPD Authorized official

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1861746836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 7525",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006469539",
            "telephone_number": "787-883-5957",
            "fax_number": "787-883-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 26.2",
            "address_2": "ESPINOSA WARD",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-883-5959",
            "fax_number": "787-883-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hc 3",
            "address_2": "Box 7525",
            "address_purpose": "LOCATION",
            "city": "Dorado",
            "state": "PR",
            "postal_code": "00646",
            "country_code": "US",
            "telephone_number": "787-883-5959 x0420",
            "fax_number": "787-883-6040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARIELY",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "5054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Beatriz Diaz Bula, PHARMD
• Evelyn Diaz-Perez, RPH
• Evelyn Diaz
• Hilda Diaz
• Irma Diaz, BSPH
• Dora-Care Paharmacy LLC
• Dorado Community Health Inc
• Dorado Community Health Inc
• Dorado Family Dental Center PSC
• Dorado MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.