Active NPI
Jose G Diaz, BSHE
- Health Educator
- Bayamon, PR
National Provider Identifier
1760020051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 267
- Practice address
- 20 Calle Santa Cruz
Bayamon, PR 00961-6906 - Phone
- (787) 778-2100
- NPI assigned
- Dec 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 267 | PR | Primary |
Addresses
Primary practice location
20 Calle Santa Cruz
Bayamon, PR 00961-6906
Mailing address
921 Carr 876 Apt 135
Trujillo Alto, PR 00976-7520
Phone (787) 637-2970
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdiaz@milmedpr.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267 | PR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1760020051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 CARR 876 APT 135",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009767520",
"telephone_number": "787-637-2970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CALLE SANTA CRUZ",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009616906",
"telephone_number": "787-778-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "JOSE",
"middle_name": "G",
"credential": "BSHE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-17",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "PR",
"license": "267",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdiaz@milmedpr.com",
"affiliation": "N",
"address_1": "20 Calle Santa Cruz",
"city": "Bayamon",
"state": "PR",
"country_code": "US",
"postal_code": "009616906",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.