Individual provider Active NPI

Mildred Aileen Diaz-Sola, M.D.

  • General Practice Physician
  • Toa Baja, PR
National Provider Identifier
1033375522
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
017193 Issued in PR
Practice address
Ce 11 Calle Dr. Francisco Trelles
Levittown
Toa Baja, PR 00949-3312
Phone
(787) 784-1779
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 017193 PR Primary

Addresses

Primary practice location

Ce 11 Calle Dr. Francisco Trelles
Levittown
Toa Baja, PR 00949-3312

Mailing address

PO Box 51431
Levittown Station
Toa Baja, PR 00950-1431
Phone (787) 784-1779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151102000255 GA Order and Referring Only - General PracticePractitioner - General Practice 5991015075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
017193PRMDGeneral Practice Physician
17193PRMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1033375522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51431",
            "address_2": "LEVITTOWN STATION",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501431",
            "telephone_number": "787-784-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CE 11 CALLE DR. FRANCISCO TRELLES",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493312",
            "telephone_number": "787-784-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-SOLA",
        "first_name": "MILDRED",
        "middle_name": "AILEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "017193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.