Active NPI
Jose Luis Diaz, M.D. P.a.
- Orthopaedic Surgery Physician
- El Paso, TX
National Provider Identifier
1720104276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- JOSE LUIS DIAZ, M.D. P.A.
- Practice address
- 10501 Vista del Sol
Suite 220
El Paso, TX 79925-7941 - Phone
- (915) 593-6700
- Fax
- (915) 593-6703
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Luis Diaz, M.D.
- Title
- Owner
- Phone
- (915) 593-6700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
10501 Vista del Sol
Suite 220
El Paso, TX 79925-7941
Mailing address
PO Box 26734
El Paso, TX 79926-6734
Phone (915) 593-6700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0087KA | Other | TX | BCBS |
| 159892201 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
10400 Vista del Sol Dr
Ste 103
El Paso, TX 79925
Phone (915) 592-1416
10501 Vista del Sol Dr
Ste 220
El Paso, TX 79925
Phone (915) 592-7500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264723200000",
"number": "1720104276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26734",
"city": "EL PASO",
"state": "TX",
"postal_code": "799266734",
"telephone_number": "915-593-6700",
"fax_number": "915-593-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10501 VISTA DEL SOL",
"address_2": "SUITE 220",
"city": "EL PASO",
"state": "TX",
"postal_code": "799257941",
"telephone_number": "915-593-6700",
"fax_number": "915-593-6703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE LUIS DIAZ, M.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2010-01-29",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "LUIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "915-593-6700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0087KA",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159892201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.