Individual provider Active NPI

Magda S. Diaz, D.M.D

  • Pediatric Dentistry
  • Vega Baja, PR
National Provider Identifier
1003803693
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2656 Issued in PR
Practice address
38 Calle Betances
Clinica Dental Aymat
Vega Baja, PR 00693-4453
Phone
(787) 855-3996
NPI assigned
Sep 29, 2005
Last updated
Jan 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2656 PR Primary

Addresses

Primary practice location

38 Calle Betances
Clinica Dental Aymat
Vega Baja, PR 00693-4453

Mailing address

PO Box 54
290 Ave. Santa Ana Torrimar Town Park
Guaynabo, PR 00970-0054
Phone (787) 504-4126

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1003803693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "address_2": "290 AVE. SANTA ANA TORRIMAR TOWN PARK",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009700054",
            "telephone_number": "787-504-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CALLE BETANCES",
            "address_2": "CLINICA DENTAL AYMAT",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934453",
            "telephone_number": "787-855-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MAGDA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "2656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.