Tania Ivette Diaz Rosado, MD
Individual provider Active NPI General Practice Physician · Carolina, PR
NPI 1326569013 · NPPES record last updated Feb 23, 2021
Key facts
- NPI
- 1326569013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 22152 (PR)
- Practice address
- Cii Molinillo
Fernandez Juncos Avenue Bo. Pueblo
Carolina, PR 00985-0098 - Phone
- (787) 626-3322
- NPI assigned
- Jul 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241022002265 | PR | Practitioner - General Practice | 8325570864 |
Reassigns benefits to 1 organization Practice locations: Bayamon, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22152 | PR | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | 22152 | PR | Yes |
Addresses
Primary practice location
Cii Molinillo
Fernandez Juncos Avenue Bo. Pueblo
Carolina, PR 00985-0098
Mailing address
Urb. Castellana Gardens C/30 GG8
Carolina, PR 00983
Phone (787) 550-4055
Other practice location 1
Carr 2 km 141.1 Avenida Severiano Cuevas
18 Caimital Bajo
Aguadilla, PR 00603
Phone (787) 658-0012
Other providers in Carolina, PR
- Florieli Diaz Gonzalez
- Monica Beatriz Diaz Hernandez
- Angel Diaz Marti
- Gabriela M. Diaz Rivera
- Alejandra Diaz Rohena
- Omar E Diaz Sojo
- Elba Cecilia Diaz Toro
- Ada Y Diaz-Colon
- Debbie Ann Diaz-Ortiz
- Diana Diaz-Ramirez
All providers in Carolina, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.