Lilliam Diaz Gonzalez, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

854 Issued in PR

Practice address

Ave Hostos
Esq. Campeche #1274
Ponce, PR 00732

Phone

(787) 767-6710

Fax

(787) 758-0950

NPI assigned

Oct 13, 2011

Last updated

Oct 13, 2011By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1669757373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ARIZONA 7 CASA #11",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "00714",
            "telephone_number": "787-204-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE HOSTOS",
            "address_2": "ESQ. CAMPECHE #1274",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-767-6710",
            "fax_number": "787-758-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ GONZALEZ",
        "first_name": "LILLIAM",
        "name_prefix": "Miss",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PR",
            "license": "854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Javier Diaz Carrasco
• Alexis Hiran Diaz Diaz, LICENCIADO
• Miguel A Diaz Ferriol, MD
• Eduardo Manuel Diaz Figueroa, M.D.
• Chaimarie Diaz Gonzalez
• Giovanna M Diaz Massanet, PSY
• Diaz Medero LLC
• Luis X Diaz Medero
• Jose Ivan Diaz Mendez
• Luisanne Marie Diaz Morales, PSY D

• Occupational Therapy Assistant in Ponce, PR
• Providers in Ponce, PR by specialty
• Occupational Therapy Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.