Individual provider Active NPI

Frederick Jose Cortes Diaz, MSW

  • Social Worker
  • Canovanas, PR
National Provider Identifier
1003724840
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
15549 Issued in PR
Practice address
HC 4 Box 8956
Canovanas, PR 00729-9901
Phone
(787) 462-0368
NPI assigned
Sep 1, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 15549 PR Primary

Addresses

Primary practice location

HC 4 Box 8956
Canovanas, PR 00729-9901

Mailing address

HC 4 Box 8956
Canovanas, PR 00729-9901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1003724840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 8956",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 8956",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299901",
            "telephone_number": "787-462-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTES DIAZ",
        "first_name": "FREDERICK",
        "middle_name": "JOSE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "PR",
            "license": "15549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.