Active NPI
Carmen Antonia Lopez Diaz, MD
- Occupational Medicine Physician
- Humacao, PR
National Provider Identifier
1164523262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 10049
- Practice address
- Avenida Boulevard del Rio
Humacao, PR 00792 - Phone
- (787) 852-1400
- Fax
- (787) 852-9020
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 10049 | PR | Primary |
Addresses
Primary practice location
Avenida Boulevard del Rio
Humacao, PR 00792
Mailing address
HC 1 Box 7546
Canovanas, PR 00729-9761
Phone (787) 876-2284
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10049 | PR | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1164523262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 7546",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007299761",
"telephone_number": "787-876-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA BOULEVARD DEL RIO",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00792",
"telephone_number": "787-852-1400",
"fax_number": "787-852-9020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ DIAZ",
"first_name": "CARMEN",
"middle_name": "ANTONIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "PR",
"license": "10049",
"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 Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.