Organization Active NPI

Jose Luis Diaz, M.D. P.a.

  • Orthopaedic Surgery Physician
  • El Paso, TX
National Provider Identifier
1720104276
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on Jan 29, 2010

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0087KAOtherTXBCBS
159892201MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.