Individual provider Active NPI

Emilio Diaz, MT

  • Other Specialist/Technologist
  • Toa Baja, PR
National Provider Identifier
1184816399
Registry record updated Aug 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
5043 Issued in PR
Practice address
S15 Calle Lealtad
Levittown Sta
Toa Baja, PR 00949-4611
Phone
(787) 784-0813
Fax
(787) 795-5330
NPI assigned
Aug 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X 5043 PR Primary

Addresses

Primary practice location

S15 Calle Lealtad
Levittown Sta
Toa Baja, PR 00949-4611

Mailing address

PO Box 50384
Toa Baja, PR 00950-0384
Phone (787) 784-0813

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
Medical Technician

State licenses

LicenseStateTypeSpecialty
5043PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratorio Clinico Levittown, Inc. Past 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": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186790400000",
    "number": "1184816399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50384",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009500384",
            "telephone_number": "787-784-0813",
            "fax_number": "787-795-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S15 CALLE LEALTAD",
            "address_2": "LEVITTOWN STA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494611",
            "telephone_number": "787-784-0813",
            "fax_number": "787-795-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "EMILIO",
        "name_prefix": "Mr.",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-11",
        "last_updated": "2007-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "PR",
            "license": "5043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2007; 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.