Enrique Diaz, D.M.D.
Individual provider Active NPI Dentist · Corozal, PR
NPI 1215936752 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1215936752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 681 (PR)
- Practice address
- 5A Calle Cervantes
Corozal, PR 00783-1905 - Phone
- (787) 859-2731
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 681 | PR | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 681 | PR | Yes |
Addresses
Primary practice location
5A Calle Cervantes
Corozal, PR 00783-1905
Mailing address
PO Box 293
#6 St D-35 Sylvia
Corozal, PR 00783-0293
Phone (787) 859-2731
Other providers in Corozal, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.