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Deactivated NPI 1508305830 Deactivated / Inactive NPI Female Practitioner

Wanda Luz Diaz , RPH MBA

Pharmacist • Bayamon, PR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wanda Diaz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 20, 2017
NPI Deactivation Date June 22, 2021
Total Practice Duration ~4 Years of Practice (2017 – 2021)

Professional Overview & Biography Verified Profile Summary

Wanda Diaz, RPH MBA was a registered Pharmacist practicing in Bayamon, PR. Throughout an active medical career spanning 4 years, Wanda Diaz provided care at the practice location at 23 CALLE FANTASIA until profile deactivation on 2021-06-22.

Practice Location & Contact Primary Location

Practice Address

23 Calle Fantasia
Urb Aventura

Bayamon, PR 009568412

Telephone 7876428572

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bayamon, PR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
256 Specialists

Practicing in Bayamon, PR (3314 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License PR 4451

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 22, 2021

Record deactivated on June 22, 2021

NPI Profile Active February 20, 2017

NPI status registered as active in NPPES database

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Updated Practice Location February 20, 2017

Registered at 23 CALLE FANTASIA, URB AVENTURA, BAYAMON, PR 009568412 (Tel: 7876428572)

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Updated Business Mailing Address February 20, 2017

Registered at PO BOX 367828, SAN JUAN, PR 009367828 (Tel: 7876428672)

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Provider Name / Credentials Updated February 20, 2017

Recorded as WANDA DIAZ, RPH MBA

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2017

Pharmacist (License #4451 in PR)

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Initial NPI Registration & Enumeration February 20, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508305830
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2017
Last Update: February 20, 2017
Deactivation Date: June 22, 2021

Mailing Address

Po Box 367828

San Juan, PR 009367828

Phone: 7876428672

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.