Active NPI
Manuel E Diaz, M.D.
- Family Medicine Physician
- Aguada, PR
National Provider Identifier
1548222417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10928
- Practice address
- Carr 115 Bo Asomante
Centromultiservicios Coop 9 Colon
Aguada, PR 00602 - Phone
- (787) 868-0045
- Fax
- (787) 868-0045
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10928 | PR | Primary |
Addresses
Primary practice location
Carr 115 Bo Asomante
Centromultiservicios Coop 9 Colon
Aguada, PR 00602
Mailing address
PO Box 5000
Suite 808
Aguada, PR 00602-7003
Phone (787) 868-2139
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548222417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5000",
"address_2": "SUITE 808",
"city": "AGUADA",
"state": "PR",
"postal_code": "006027003",
"telephone_number": "787-868-2139",
"fax_number": "787-868-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 115 BO ASOMANTE",
"address_2": "CENTROMULTISERVICIOS COOP 9 COLON",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-868-0045",
"fax_number": "787-868-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "MANUEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "10928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.