Active NPI
Ana J. Diaz, M.D.
- Specialist
- Caguas, PR
National Provider Identifier
1497754956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4377
- Practice address
- 202 Ave Jose Gautier Benitez
Suite C-1-C Cosolidated Mall
Caguas, PR 00726 - Phone
- (787) 746-4980
- Fax
- (787) 743-8526
- NPI assigned
- Jul 18, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 4377 | PR | Primary |
Addresses
Primary practice location
202 Ave Jose Gautier Benitez
Suite C-1-C Cosolidated Mall
Caguas, PR 00726
Mailing address
PO Box 6827
Caguas, PR 00726-6827
Phone (787) 746-4980
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4377 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1497754956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6827",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007266827",
"telephone_number": "787-746-4980",
"fax_number": "787-743-8526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 AVE JOSE GAUTIER BENITEZ",
"address_2": "SUITE C-1-C COSOLIDATED MALL",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00726",
"telephone_number": "787-746-4980",
"fax_number": "787-743-8526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ANA",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "4377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.