Active NPI
Antonio M Diaz, MD
- Specialist
- Bayamon, PR
National Provider Identifier
1700920766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 8186
- Practice address
- B24 Calle 25
Forest Hills
Bayamon, PR 00959-5548 - Phone
- (787) 780-9670
- Fax
- (787) 785-2264
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 8186 | PR | Primary |
Addresses
Primary practice location
B24 Calle 25
Forest Hills
Bayamon, PR 00959-5548
Mailing address
78 Calle Kings CT
Apt. 7D
San Juan, PR 00911-1600
Phone (787) 728-7565
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8186 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396742400000",
"number": "1700920766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 CALLE KINGS CT",
"address_2": "APT. 7D",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009111600",
"telephone_number": "787-728-7565",
"fax_number": "787-785-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "B24 CALLE 25",
"address_2": "FOREST HILLS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009595548",
"telephone_number": "787-780-9670",
"fax_number": "787-785-2264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ANTONIO",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2014-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "8186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.