Individual provider Active NPI

Jaritza Rodriguez Diaz, MD

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1053016998
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
023054 Issued in PR
Practice address
Carretera 349KM 2.7 Cerro Las Mesas
Mayaguez, PR 00680-8321
Phone
(787) 834-6000
NPI assigned
Mar 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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 023054 PR Primary

Addresses

Primary practice location

Carretera 349KM 2.7 Cerro Las Mesas
Mayaguez, PR 00680-8321

Mailing address

HC 8 Box 1286
Ponce, PR 00731-9537
Phone (939) 401-0996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20250212001807 PR Practitioner - General Practice 5193255719 Practice locations: Mayaguez, PR; Yauco, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023054PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1053016998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 8 BOX 1286",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007319537",
            "telephone_number": "939-401-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 349KM 2.7 CERRO LAS MESAS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006808321",
            "telephone_number": "787-834-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ DIAZ",
        "first_name": "JARITZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.