Active NPI
Angel Xavier Diaz Rodriguez, RDN
- Registered Dietitian
- Aguirre, PR
National Provider Identifier
1174282180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- Urb. Paseo Costa del Sur
R-16
Aguirre, PR 00704 - Phone
- (787) 453-4347
- NPI assigned
- Dec 17, 2021
- Last updated
- Dec 17, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | PR | Primary |
Addresses
Primary practice location
Urb. Paseo Costa del Sur
R-16
Aguirre, PR 00704
Mailing address
Parcelas Jauca
#39
Santa Isabel, PR 00757
Phone (787) 453-4347
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1174282180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PARCELAS JAUCA",
"address_2": "#39",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "00757",
"telephone_number": "787-453-4347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. PASEO COSTA DEL SUR",
"address_2": "R-16",
"city": "AGUIRRE",
"state": "PR",
"postal_code": "00704",
"telephone_number": "787-453-4347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ RODRIGUEZ",
"first_name": "ANGEL",
"middle_name": "XAVIER",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-17",
"last_updated": "2021-12-17",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguirre, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.