Divamar Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

18-F-2423 Issued in PR

Legal business name

DIVAMAR INC

Doing business as

Farmacia Bairoa

Practice address

Calle la Pinta BF-15 Ave. Bairoa
Bairoa Caguas, PR 00725-1472

Phone

(787) 744-9164

Fax

(787) 744-3988

NPI assigned

Feb 22, 2007

Last updated

Sep 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Modesto Santiago

Title

President

Phone

(787) 744-9164

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FARMACIA BAIROA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alberto Vazquez

  • Pharmacist
  • Caguas, PR
  • NPI 1174163646
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1982739587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE LA PINTA BF-15 AVE. BAIROA",
            "city": "BAIROA CAGUAS",
            "state": "PR",
            "postal_code": "007251472",
            "telephone_number": "787-744-9164",
            "fax_number": "787-744-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LA PINTA BF-15 AVE. BAIROA",
            "city": "BAIROA CAGUAS",
            "state": "PR",
            "postal_code": "007251472",
            "telephone_number": "787-744-9164",
            "fax_number": "787-744-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVAMAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "MODESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-744-9164"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "18-F-2423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038372400",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084107",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA BAIROA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.