Jorge H Diaz

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

534 Issued in PR

Practice address

238 Calle Las Marias
Urb Hyde Park
San Juan, PR 00927-4222

Phone

(787) 751-4310

Fax

(787) 765-1064

NPI assigned

Jul 22, 2008

Last updated

Aug 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1447415245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 600 DE DIEGO #89",
            "address_2": "SUITE 105",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-751-4310",
            "fax_number": "787-765-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 CALLE LAS MARIAS",
            "address_2": "URB HYDE PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274222",
            "telephone_number": "787-751-4310",
            "fax_number": "787-765-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JORGE",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janezaliz C Diaz, OPTICIAN
• Janice Annette Diaz
• Janice Elmis Diaz
• Joan Diaz, RD
• Jomar Diaz, DMD
• Jose Eric Diaz, M.D.
• Josefina A. Diaz, MD
• Judith A Diaz, P.T. , MPH
• Liza Yanira Diaz
• Lourdes Amparo Diaz, O.D.

• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.