Nilsa I. Diaz

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1218 Issued in PR

Practice address

Bo.Arenas Sector Santa Clara
Parsela 208
Cidra, PR 00739

Phone

(787) 949-8850

NPI assigned

Oct 17, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1720363260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO.ARENAS SECTOR SANTA CLARA",
            "address_2": "BOX 596",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-949-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO.ARENAS SECTOR SANTA CLARA",
            "address_2": "PARSELA 208",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-949-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "NILSA",
        "middle_name": "I.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PR",
            "license": "1218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica De Jesus Surillo, MS/SLP
• Shantelle Natasha Del Valle
• Coraly M Diaz Olivero
• Jose Manuel Diaz, MD
• Nicole Diaz
• Maria Dopazo Sr., PHARM D
• Dra. Mariola Fernandez Rodriguez, LLC
• Dregco Dental LLC
• El Geronte Ederly Services Inc
• Farmacia Beatriz LLC.

• Physical Therapy Assistant in Cidra, PR
• Providers in Cidra, PR by specialty
• Physical Therapy Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.