Organization Active NPI

Optima Infusion Pharmacy Inc

  • Specialty Pharmacy
  • Dorado, PR
National Provider Identifier
1902642283
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
OPTIMA INFUSION PHARMACY INC
Practice address
Carr 2 KM 26.2 Espinosa
Dorado, PR 00646-9539
Phone
(787) 883-5959
Fax
(787) 883-6040
NPI assigned
Jul 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Mariely Diaz Negron, PHARMD, MHA, CSP
Title
President & Ceo
Phone
(787) 883-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

Carr 2 KM 26.2 Espinosa
Dorado, PR 00646-9539

Mailing address

HC 3 Box 7525
Dorado, PR 00646-9539
Phone (787) 883-5959

Other names 1

  • Optima Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optima Infusion Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1902642283",
    "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": "787-883-5959",
            "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 ESPINOSA",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006469539",
            "telephone_number": "787-883-5959",
            "fax_number": "787-883-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA INFUSION PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "DIAZ NEGRON",
        "authorized_official_first_name": "MARIELY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "787-883-5959",
        "authorized_official_credential": "PHARMD, MHA, CSP"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optima Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.