Javier Diaz

Primary specialty

PharmacistTaxonomy code 183500000X

License

3911 Issued in PR

Practice address

Carr 152 KM 2 8
Barrio Quebradillas de Barranquitas
Barranquitas, PR 00794

Phone

(787) 857-7954

Fax

(787) 857-5249

NPI assigned

May 30, 2007

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972704641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 5352",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007839327",
            "telephone_number": "787-859-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 152 KM 2 8",
            "address_2": "BARRIO QUEBRADILLAS DE BARRANQUITAS",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "00794",
            "telephone_number": "787-857-7954",
            "fax_number": "787-857-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JAVIER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "3894",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delta EMS Corp.
• Dental PMB, P.C.
• Emanuel Diaz Vazquez, PHARMD
• Karla M Diaz Zayas, MD
• Gloria Esther Diaz, 920
• Dra. Felicia Estrella Rios LLC
• Dzeus Corp.
• El Senor de Los Dientes LLC
• Emson Corp
• Roberto Encarnacion, MD

• Pharmacist in Barranquitas, PR
• Providers in Barranquitas, 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 8, 2007; 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.