Roberto Diaz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13449 Issued in TX

Practice address

1501 W Sam Houston St
Pharr, TX 78577-5111

Phone

(956) 781-5477

Fax

(956) 781-4878

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

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.

• Roberto Diaz D.D.S. P.a.

  • General Practice Dentistry
  • Pharr, TX
  • NPI 1619042793
  NPD (past) Authorized official
• RGV Dental Arts, PLLC

  • General Practice Dentistry
  • Pharr, TX
  • NPI 1326432204
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710052295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W SAM HOUSTON ST",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775111",
            "telephone_number": "956-781-5477",
            "fax_number": "956-781-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W SAM HOUSTON ST",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775111",
            "telephone_number": "956-781-5477",
            "fax_number": "956-781-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Del Valle Las Manitas, Inc.
• Del Valle Medical Supply, LLC
• Eliza Deleon, LMSW
• Diabetic Infusion Specialists LLC
• Ramiro Miguel Diaz, PA-C
• Veronica Lisette Diaz, M.S., CCC-SLP
• Dilydis Inc
• Dinma Care Pharmacy Durable Medical Equipment (DME) Services LLC
• Theodore J Disque, FNP
• District Emergency Medical Supplies

• General Practice Dentistry in Pharr, TX
• Providers in Pharr, TX by specialty
• General Practice Dentistry in Texas

• 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.