Giovannie Miguel Diaz Lopez, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

003690 Issued in PR

Practice address

Urb la Sierra del Rio C/3-D8
San Juan, PR 00926

Phone

(787) 902-4591

NPI assigned

Aug 14, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1033992144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AVE LA SIERRA APT 37",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264337",
            "telephone_number": "787-902-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB LA SIERRA DEL RIO C/3-D8",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-902-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ LOPEZ",
        "first_name": "GIOVANNIE",
        "middle_name": "MIGUEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9632260",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "073619",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "11027017",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "003690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz Darleny Diaz Gomez, MD
• Antonio Luis Diaz Hernandez, MD
• Emma Rosa Diaz Hernandez, PH.D.
• Juan J Diaz Hernandez, M.D.
• Sara Marie Diaz Jimenez
• Ricardo Diaz Marmolejos
• Jorge A Diaz Martinez, D.C.
• Rafael Diaz Mendez, DMD
• Silvino Diaz Mendoza, MD
• Karen Diaz Miranda, RN

• Certified Registered Nurse Anesthetist in San Juan, PR
• Providers in San Juan, PR by specialty
• Certified Registered Nurse Anesthetist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.