Individual provider Active NPI

Victor Manuel Diaz-Rodriguez, RRT

  • Registered Respiratory Therapist
  • Meriden, CT
National Provider Identifier
1508146820
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
001421 Issued in CT
Practice address
211 Pomeroy Ave
Apt 1116
Meriden, CT 06450-7165
Phone
(719) 588-9087
NPI assigned
Aug 17, 2011
Last updated
Aug 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 0117001499 VA
Registered Respiratory Therapist 227900000X 67341 TX
Registered Respiratory Therapist 227900000X 001421 CT Primary
Registered Respiratory Therapist 227900000X 2943 CO
Registered Respiratory Therapist 227900000X 2011013988 MO

Addresses

Primary practice location

211 Pomeroy Ave
Apt 1116
Meriden, CT 06450-7165

Mailing address

211 Pomeroy Ave
Apt 1116
Meriden, CT 06450-7165
Phone (719) 588-9087

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

LicenseStateTypeSpecialty
2943COMDCounselor
67341TXMDClinical Social Worker
001421CTMDRegistered Respiratory Therapist
2011013988MOMDRegistered Respiratory Therapist
0117001499VAMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1508146820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 POMEROY AVE",
            "address_2": "APT 1116",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507165",
            "telephone_number": "719-588-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 POMEROY AVE",
            "address_2": "APT 1116",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507165",
            "telephone_number": "719-588-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-RODRIGUEZ",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "VA",
            "license": "0117001499",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "TX",
            "license": "67341",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CT",
            "license": "001421",
            "primary": true
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CO",
            "license": "2943",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "MO",
            "license": "2011013988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.