David Javiel Diaz, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1300PA Issued in PR

Practice address

Calle Lissie Graham HF16
7Ma Secc Levitown
Toa Baja, PR 00949

Phone

(787) 795-2335

NPI assigned

Aug 16, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1669190690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "009630311",
            "telephone_number": "939-304-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LISSIE GRAHAM HF16",
            "address_2": "7MA SECC LEVITOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-795-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DAVID",
        "middle_name": "JAVIEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "1300PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damaira Ivette Diaz Ortiz, RPH
• Jose Alberto Diaz Ortiz
• Jaime Jose Diaz Santiago, D.C
• Mildred Aileen Diaz-Sola, M.D.
• Brendaliz Diaz
• Emilio Diaz, MT
• Janette Diaz, BS
• Juan F Diaz
• Ana B Diciaccio-Valero, MA
• Rahumar Dieppa Vega, MD

• Physician Assistant in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.