Active NPI
Jose Eric Diaz, M.D.
- Emergency Medicine Physician
- San Juan, PR
National Provider Identifier
1346289816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 11528
- Practice address
- 10 Calle Casia
VA Medical Center
San Juan, PR 00921-3200 - Phone
- (787) 641-5866
- NPI assigned
- Jun 6, 2006
- Last updated
- Mar 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 11528 | PR | Primary |
| Medical Toxicology (Emergency Medicine) Physician | 207PT0002X | 11528 | PR |
Addresses
Primary practice location
10 Calle Casia
VA Medical Center
San Juan, PR 00921-3200
Mailing address
W3-27 Calle Pio Baroja
Urb. Hucares
San Juan, PR 00926-6803
Phone (787) 510-8568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1346289816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W3-27 CALLE PIO BAROJA",
"address_2": "URB. HUCARES",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266803",
"telephone_number": "787-510-8568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE CASIA",
"address_2": "VA MEDICAL CENTER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213200",
"telephone_number": "787-641-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "JOSE",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "11528",
"primary": true
},
{
"code": "207PT0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Medical Toxicology",
"state": "PR",
"license": "11528",
"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 Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.