Individual provider Active NPI

Wanda Diaz, BS, RPH, LND, CDE

  • Nutrition Education Nutritionist
  • San Juan, PR
National Provider Identifier
1235183989
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
1212 Issued in PR
Practice address
306 B2 Clemson
University Gardens
San Juan, PR 00927-4022
Phone
(787) 466-7186
Fax
(787) 751-3482
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 1212 PR Primary
Pharmacist 183500000X 4314 PR

Addresses

Primary practice location

306 B2 Clemson
University Gardens
San Juan, PR 00927-4022

Mailing address

306 B2 Clemson
University Gardens
San Juan, PR 00927-4022
Phone (787) 466-7186

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
Bachelor of Science, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
4314PRMDProfessional Counselor
1212PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1235183989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 B2 CLEMSON",
            "address_2": "UNIVERSITY GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274022",
            "telephone_number": "787-466-7186",
            "fax_number": "787-751-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 B2 CLEMSON",
            "address_2": "UNIVERSITY GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274022",
            "telephone_number": "787-466-7186",
            "fax_number": "787-751-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "WANDA",
        "credential": "BS, RPH, LND, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PR",
            "license": "1212",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.