Individual provider Active NPI

Luis A Diaz, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1619975091
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
161575 Issued in NY
Practice address
1217 Castle Hill Ave
Bronx Medical Care Assoc., PC
Bronx, NY 10462-4804
Phone
(718) 518-9200
Fax
(718) 792-1029
NPI assigned
Jul 11, 2005
Reactivated
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 161575 NY Primary

Addresses

Primary practice location

1217 Castle Hill Ave
Bronx Medical Care Assoc., PC
Bronx, NY 10462-4804

Mailing address

1217 Castle Hill Ave
Bronx Medical Care Assoc., PC
Bronx, NY 10462-4804
Phone (718) 518-9200

Other identifiers 1

IdentifierTypeStateIssuer
00957460MedicaidNY

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619975091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 CASTLE HILL AVE",
            "address_2": "BRONX MEDICAL CARE ASSOC., PC",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624804",
            "telephone_number": "718-518-9200",
            "fax_number": "718-792-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 CASTLE HILL AVE",
            "address_2": "BRONX MEDICAL CARE ASSOC., PC",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624804",
            "telephone_number": "718-518-9200",
            "fax_number": "718-792-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "161575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00957460",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.