Organization Active NPI

Policlinica Dr. Manuel E. Diaz Soto

  • Case Manager/Care Coordinator
  • Aguada, PR
National Provider Identifier
1699979401
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
10928 Issued in PR
Legal business name
POLICLINICA DR. MANUEL E. DIAZ SOTO
Practice address
Carr. 111 KM 24.6 Bo. Asomante
Aguada, PR 00602-7003
Phone
(787) 868-0045
Fax
(787) 868-0045
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Manuel E. Diaz Soto, MD
Title
Presidente
Phone
(787) 868-0045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X 10928 PR Primary

Addresses

Primary practice location

Carr. 111 KM 24.6 Bo. Asomante
Aguada, PR 00602-7003

Mailing address

PO Box 5000
Aguada, PR 00602-7003
Phone (787) 868-0045

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699979401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5000",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006027003",
            "telephone_number": "787-868-0045",
            "fax_number": "787-868-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 111 KM 24.6 BO. ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006027003",
            "telephone_number": "787-868-0045",
            "fax_number": "787-868-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA DR. MANUEL E. DIAZ SOTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ SOTO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-868-0045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "PR",
            "license": "10928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.