Active NPI
Irismar Diaz
- Physical Therapy Assistant
- Patillas, PR
National Provider Identifier
1760596332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1718
- Practice address
- Car. 799 KM 0 HM 8 Bo. Cacao Bajo
Patillas, PR 00723 - Phone
- (787) 237-6526
- NPI assigned
- Aug 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1718 | PR | Primary |
Addresses
Primary practice location
Car. 799 KM 0 HM 8 Bo. Cacao Bajo
Patillas, PR 00723
Mailing address
Car. 799 KM 0 HM 8 Bo. Cacao Bajo
Patillas, PR 00723
Phone (787) 237-6526
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 |
|---|---|---|---|
| 1718 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760596332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CAR. 799 KM 0 HM 8 BO. CACAO BAJO",
"city": "PATILLAS",
"state": "PR",
"postal_code": "00723",
"telephone_number": "787-237-6526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAR. 799 KM 0 HM 8 BO. CACAO BAJO",
"city": "PATILLAS",
"state": "PR",
"postal_code": "00723",
"telephone_number": "787-237-6526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "IRISMAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PR",
"license": "1718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Patillas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.