Luisa Diaz, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14886 Issued in PR

Practice address

2225 Haley Barbour Parkway
Yazoo City, MS 39194

Phone

(662) 751-4800

Fax

(662) 751-4956

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Luisa Martinez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yazoo Federal Correctional Center

  • Prison Health Clinic/Center
  • Yazoo City, MS
  • NPI 1255879789
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699986471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BRADSHAW CROSSING",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390463362",
            "telephone_number": "601-605-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 HALEY BARBOUR PARKWAY",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "39194",
            "telephone_number": "662-751-4800",
            "fax_number": "662-751-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LUISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUISA",
            "last_name": "MARTINEZ",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yolanda Currie Pope, MS CCCSLP
• Alissa Nicholas Damiens, FNP-C
• Presley Fay Dempsey
• Stefanie Patterson Dendy, RPA/RRA
• Catherine Ann Dever, FNP
• Stephen Diew
• Andrea Donerson
• Terri Peyton Dooley
• Dr James C Hamilton PA
• Dr. David J. Parker, Jr.

• General Practice Physician in Yazoo City, MS
• Providers in Yazoo City, MS by specialty
• General Practice Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.