Wilfredo Diaz, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5542 Issued in PR

Practice address

Administracion de Servicios Medicos de PR
Box 2129
San Juan, PR 00926

Phone

(787) 777-3535

Fax

(787) 251-4518

NPI assigned

Dec 7, 2005

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1720063316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PRINCESA NO 30 ST",
            "address_2": "ESTANCIA LA FUENTE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533608",
            "telephone_number": "787-412-9789",
            "fax_number": "787-251-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ADMINISTRACION DE SERVICIOS MEDICOS DE PR",
            "address_2": "BOX 2129",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-777-3535",
            "fax_number": "787-251-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "WILFREDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "5542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Diaz, M.S.W.
• Victor Ivan Diaz Jr.
• Waleska Diaz, MSW
• Wanda Diaz, BS, RPH, LND, CDE
• Wanda Ivelisse Diaz
• Yamilette Diaz
• Zaida Yadira Diaz
• Idamy Yaritza Dieppa, PHARMD
• Renan A. Dieppa, MD
• Diet Home.Com

• Emergency Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Emergency Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.