Individual provider Active NPI

Rosalyn Diaz, M.D.

  • Pediatric Gastroenterology Physician
  • San Juan, PR
National Provider Identifier
1366632093
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
14831 Issued in PR
Practice address
684 Calle Merida
Venus Gardens
San Juan, PR 00926-4613
Phone
(302) 547-9648
NPI assigned
Jul 30, 2007
Last updated
Feb 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 14831 PR Primary

Addresses

Primary practice location

684 Calle Merida
Venus Gardens
San Juan, PR 00926-4613

Mailing address

684 Calle Merida
Venus Gardens
San Juan, PR 00926-4613
Phone (302) 547-9648

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

LicenseStateTypeSpecialty
14831PRMDPediatric Gastroenterology Physician

Interoperability endpoints

  • Direct secure messaging: rdiazcrescioni@1391.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1366632093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 CALLE MERIDA",
            "address_2": "VENUS GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264613",
            "telephone_number": "302-547-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 CALLE MERIDA",
            "address_2": "VENUS GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264613",
            "telephone_number": "302-547-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ROSALYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "PR",
            "license": "14831",
            "primary": true
        }
    ],
    "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 Feb 25, 2009; 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.