Active NPI
Marlen Nicole Diaz-Pou, M.D.
- Pediatrics Physician
- Guaynabo, PR
National Provider Identifier
1336460716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20747
- Practice address
- 320 Calle Rey Felipe
La Villa de Torrimar
Guaynabo, PR 00969-3255 - Phone
- (787) 406-2520
- NPI assigned
- Jun 19, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20747 | PR | Primary |
Addresses
Primary practice location
320 Calle Rey Felipe
La Villa de Torrimar
Guaynabo, PR 00969-3255
Mailing address
PO Box 194690
San Juan, PR 00919-4690
Phone (787) 406-2520
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20747 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1336460716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 194690",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009194690",
"telephone_number": "787-406-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 CALLE REY FELIPE",
"address_2": "LA VILLA DE TORRIMAR",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009693255",
"telephone_number": "787-406-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ-POU",
"first_name": "MARLEN",
"middle_name": "NICOLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-19",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "20747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.