Individual provider Active NPI

Joel Ocasio Diaz, LDN

  • Nutritionist
  • Humacao, PR
National Provider Identifier
1083127609
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
2034 Issued in PR
Practice address
302 Carr. 3 KM 82.5
Humacao Shopping Plaza
Humacao, PR 00791-4713
Phone
(787) 559-4801
NPI assigned
Nov 6, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2034 PR
Nutritionist 133N00000X 2034 PR Primary

Addresses

Primary practice location

302 Carr. 3 KM 82.5
Humacao Shopping Plaza
Humacao, PR 00791-4713

Mailing address

254 Paseo Andaluz # V-7
San Lorenzo, PR 00754-3048
Phone (787) 559-4801

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Avenue LLC Nutritionist CurrentSince Feb 23, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1083127609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 PASEO ANDALUZ # V-7",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007543048",
            "telephone_number": "787-559-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CARR. 3 KM 82.5",
            "address_2": "HUMACAO SHOPPING PLAZA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914713",
            "telephone_number": "787-559-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCASIO DIAZ",
        "first_name": "JOEL",
        "credential": "LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-06",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "2034",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "2034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.