Active NPI
Sandra Diaz-Hernandez, RD
- Registered Dietitian
- Edinburg, TX
National Provider Identifier
1619378171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT83433
- Practice address
- 5500 Raphael Dr.
Edinburg, TX 78539 - Phone
- (956) 362-5673
- Fax
- (956) 362-2038
- NPI assigned
- Sep 15, 2014
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT83433 | TX | Primary |
Addresses
Primary practice location
5500 Raphael Dr.
Edinburg, TX 78539
Mailing address
5500 Raphael Dr.
Edinburg, TX 78539
Phone (956) 362-5673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344862301 | Medicaid | TX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447977600000",
"number": "1619378171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 RAPHAEL DR.",
"city": "EDINBURG",
"state": "TX",
"postal_code": "78539",
"telephone_number": "956-362-5673",
"fax_number": "956-362-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 RAPHAEL DR.",
"city": "EDINBURG",
"state": "TX",
"postal_code": "78539",
"telephone_number": "956-362-5673",
"fax_number": "956-362-2038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ-HERNANDEZ",
"first_name": "SANDRA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-15",
"last_updated": "2015-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT83433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "344862301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.