Individual provider Active NPI

Henry Xavier Nieves Diaz, MD

  • Addiction Medicine (Family Medicine) Physician
  • Manati, PR
National Provider Identifier
1588168850
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
21671 Issued in PR
Practice address
Manati Medical Center
Urb. Atenas, Calle Hernandez Carrion
Manati, PR 00674
Phone
(787) 621-3700
NPI assigned
Mar 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 21671 PR Primary
General Practice Physician 208D00000X 21671 PR

Addresses

Primary practice location

Manati Medical Center
Urb. Atenas, Calle Hernandez Carrion
Manati, PR 00674

Mailing address

V3 Calle Higuero
Quintas de Villamar
Dorado, PR 00646
Phone (787) 478-4377

Other practice location 1

Vega Alta Community Health
Carr #2 Km 3.1
Vega Alta, PR 00692
Phone (787) 883-6718

Other practice location 2

Dorado Community Health
Carr #698 Bo. Mameyal
Dorado, PR 00646
Phone (787) 796-3330

Other practice location 3

Universidad Central Del Caribe
300 Ave Laurel, Urb Santa Juanita
Bayamon, PR 00956
Phone (787) 798-3001 ext. 2707

Other practice location 4

#100 Urb. Mariolga Bo. Turabo
Caguas, PR 00725
Phone (787) 961-4562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124002763 PR Practitioner - Addiction Medicine 0446742704 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
University Central del Caribe Escuela de Medicina, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Ave Luis Munoz Marin
Caguas, PR 00725

100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone (787) 478-4377

V3 Calle Higuero
Dorado, PR 00646

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21671PRMDAddiction Medicine (Family Medicine) Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1588168850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "V3 CALLE HIGUERO",
            "address_2": "QUINTAS DE VILLAMAR",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-478-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANATI MEDICAL CENTER",
            "address_2": "URB. ATENAS, CALLE HERNANDEZ CARRION",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Vega Alta Community Health",
            "address_2": "Carr #2 Km 3.1",
            "address_purpose": "LOCATION",
            "city": "Vega Alta",
            "state": "PR",
            "postal_code": "00692",
            "country_code": "US",
            "telephone_number": "787-883-6718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Dorado Community Health",
            "address_2": "Carr #698 Bo. Mameyal",
            "address_purpose": "LOCATION",
            "city": "Dorado",
            "state": "PR",
            "postal_code": "00646",
            "country_code": "US",
            "telephone_number": "787-796-3330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Universidad Central Del Caribe",
            "address_2": "300 Ave Laurel, Urb Santa Juanita",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00956",
            "country_code": "US",
            "telephone_number": "787-798-3001 x2707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "#100 Urb. Mariolga Bo. Turabo",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-961-4562",
            "fax_number": "787-961-4562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEVES DIAZ",
        "first_name": "HENRY",
        "middle_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PR",
            "license": "21671",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.