Active NPI
Rebecca Diaz
- Case Manager/Care Coordinator
- Laredo, TX
National Provider Identifier
1497914196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 39688
- Practice address
- 1220 N Malinche Ave
Laredo, TX 78043-3354 - Phone
- (956) 722-2431
- Fax
- (956) 722-7553
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 39688 | TX | Primary |
Addresses
Primary practice location
1220 N Malinche Ave
Laredo, TX 78043-3354
Mailing address
PO Box 1620
Laredo, TX 78044-1620
Phone (956) 722-2431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39688 | Other | TX | LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39688 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1497914196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1620",
"city": "LAREDO",
"state": "TX",
"postal_code": "780441620",
"telephone_number": "956-722-2431",
"fax_number": "956-722-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 N MALINCHE AVE",
"city": "LAREDO",
"state": "TX",
"postal_code": "780433354",
"telephone_number": "956-722-2431",
"fax_number": "956-722-7553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "39688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "39688",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.