Active NPI
Yadiel Diaz-Adorno
- Student in an Organized Health Care Education/Training Program
- Worcester, MA
National Provider Identifier
1417448895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 340 Main St Ste 353
Worcester, MA 01608 - Phone
- (508) 304-7397
- NPI assigned
- May 22, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
340 Main St Ste 353
Worcester, MA 01608
Mailing address
340 Main St Ste 353
Worcester, MA 01608-1606
Phone (508) 304-7397
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538575295 | Other | MA | SUNRISE BEHAVIORAL HEALTH CLINIC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1417448895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 MAIN ST STE 353",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081606",
"telephone_number": "508-304-7397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 MAIN ST STE 353",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "508-304-7397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ-ADORNO",
"first_name": "YADIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-22",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUNRISE BEHAVIORAL HEALTH CLINIC",
"identifier": "1538575295",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.