Veronica Cristina Diaz Vidal, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

22090 Issued in PR

Practice address

400 Ave Domenech Ste 408
San Juan, PR 00918-3706

Phone

(787) 622-2012

NPI assigned

Mar 20, 2016

Last updated

Jan 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Allergy/Immunology

Education

University Central del Caribe Escuela de Medicina, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VD Allergy Institute LLCGroup PAC ID 9638530876, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• VD Allergy Institute LLC.

  • Allergy & Immunology Physician
  • San Juan, PR
  • NPI 1609448083
  Medicare reassignment Care Compare group NPD Authorized official
• Centro de Alergia E Inmunologia del Caribe LLC

  • Allergy & Immunology Physician
  • Ponce, PR
  • NPI 1144005562
  NPD (past)
• NRV Neuropeds LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • San Juan, PR
  • NPI 1194491878
  NPD (past)
• Texas Children's Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  NPD (past)

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

{
    "created_epoch": "1458432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1093176927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 RAMAL 842",
            "address_2": "APT 127",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE DOMENECH STE 408",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183706",
            "telephone_number": "787-622-2012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Metro Plaza L32 Ave Jose Garrido",
            "address_2": "Parque Industrial Villa Blanca",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007251942",
            "country_code": "US",
            "telephone_number": "787-746-3848",
            "fax_number": "787-789-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ VIDAL",
        "first_name": "VERONICA",
        "middle_name": "CRISTINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-20",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PR",
            "license": "22090",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "22090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Adrian Diaz Sepulveda, MD
• Gisela M. Diaz Sola, DC
• Alexxa Diaz Torres, MSW
• Daphne E. Diaz Vazquez, M.D.
• Albert Javier Diaz Velez
• Leonardo R Diaz Zayas, RDN, LND
• Jackeline Diaz-Collazo
• Neribelle Diaz-Colon, M.S.
• Rosa Isabel Diaz-Conde, D.M.D.
• Jose R Diaz-Correa, M.D.

• Allergy & Immunology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Allergy & Immunology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.