Healthcare Provider Details

I. General information

NPI: 1548106123
Provider Name (Legal Business Name): ESTEPHANY MILAGROS DIAZ MINAYA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JUANITA FINAL INDUSTRIAL LUCHETTI CARR 28 AVE. CENTRAL,
BAYAMON PR
00961
US

IV. Provider business mailing address

NN7 CALLE 3
BAYAMON PR
00956-5657
US

V. Phone/Fax

Practice location:
  • Phone: 787-787-7733
  • Fax:
Mailing address:
  • Phone: 787-205-0130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8685
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: