Juan Carlos Diaz Roque, M.D.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

2019-02431 Issued in NC

Practice address

855 S Mint St
Charlotte, NC 28202-1517

Phone

(704) 627-6086

Fax

(678) 785-3207

NPI assigned

Jun 23, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1669768149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S MINT ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021517",
            "telephone_number": "704-627-6086",
            "fax_number": "678-785-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S MINT ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021517",
            "telephone_number": "704-627-6086",
            "fax_number": "678-785-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ ROQUE",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NC",
            "license": "2019-02431",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "VA",
            "license": "0101252412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keren Valentina Diaz Arias
• Matthew Ryan Diaz de Arce, PA-C
• Lucila Diaz Felix
• Pamela Diaz Rodriguez, LCMHC
• Stephanie Diaz Rodriguez
• Lourdes Diaz Rosas
• Arielle Diaz
• Brittani Rae Diaz
• Diana L Diaz
• Gabriel Diaz

• Preventive Medicine/Occupational Environmental Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.