Mayra Diaz, REGISTERED DIETITIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

19141 Stone Oak Pkwy Ste 603
San Antonio, TX 78258-3375

Phone

(415) 342-1194

NPI assigned

Dec 4, 2019

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

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1679110019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 DE ZAVALA RD APT 828",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19141 STONE OAK PKWY STE 603",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583375",
            "telephone_number": "415-342-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MAYRA",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Diaz, BCBA
• Marisa D Diaz, PHD INTERN
• Marissa Janae Diaz
• Marlen Caballero Diaz, APRN-CNP
• Martha Iliana Diaz
• Melanie Catherine Diaz
• Natalie Noemi Diaz
• Paloma Diaz
• Paul Michael Diaz, M.D.
• Pedro Javier Diaz, MD

• Registered Dietitian in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.