Individual provider Active NPI

Maria Del C Diaz, LND

  • Nutrition Education Nutritionist
  • Aibonito, PR
National Provider Identifier
1477792083
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
1181 Issued in PR
Practice address
Calle Dr. Troyer
#3
Aibonito, PR 00705-1379
Phone
(787) 735-8001
Fax
(787) 735-7172
NPI assigned
Feb 5, 2009
Last updated
Feb 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 1181 PR Primary

Addresses

Primary practice location

Calle Dr. Troyer
#3
Aibonito, PR 00705-1379

Mailing address

PO Box 1379
Aibonito, PR 00705-1379
Phone (787) 735-8001

Other identifiers 1

IdentifierTypeStateIssuer
19023ASOtherPRALFA NUMERIC SETTINGS AS A MEMBER OF A GROUP WHO PROVIDE SERVICES UNDER MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120425000022 PR Practitioner - Registered Dietitian Or Nutrition Professional 2567624331 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1181PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc. CurrentSince Mar 21, 2012 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients
Mennonite General Hospital, Inc CurrentSince Mar 21, 2012 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1477792083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1379",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007051379",
            "telephone_number": "787-735-8001",
            "fax_number": "787-735-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DR. TROYER",
            "address_2": "#3",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007051379",
            "telephone_number": "787-735-8001",
            "fax_number": "787-735-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARIA",
        "middle_name": "DEL C",
        "credential": "LND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PR",
            "license": "1181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALFA NUMERIC SETTINGS AS A MEMBER OF A GROUP WHO PROVIDE SERVICES UNDER MEDICARE",
            "identifier": "19023AS",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.