Active NPI
Zaida Yadira Diaz
- General Practice Physician
- San Juan, PR
National Provider Identifier
1700084852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16676
- Practice address
- Park Garden Town House
Apt 514 Acadia St
San Juan, PR 00926 - Phone
- (787) 232-8039
- Fax
- (787) 766-1461
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16676 | PR | Primary |
Addresses
Primary practice location
Park Garden Town House
Apt 514 Acadia St
San Juan, PR 00926
Mailing address
Park Garden Town House
Apt 514 Acadia St
San Juan, PR 00926
Phone (787) 232-8039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16676 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1700084852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PARK GARDEN TOWN HOUSE",
"address_2": "APT 514 ACADIA ST",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-232-8039",
"fax_number": "787-766-1461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PARK GARDEN TOWN HOUSE",
"address_2": "APT 514 ACADIA ST",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-232-8039",
"fax_number": "787-766-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ZAIDA",
"middle_name": "YADIRA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.