Individual provider Active NPI

Josefina A. Diaz, MD

  • Case Management Agency
  • San Juan, PR
National Provider Identifier
1760693626
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
5603 Issued in PR
Practice address
600 Ave Pinero
Condominio Parque. de Loyola TN, Apt. 505
San Juan, PR 00918-4058
Phone
(787) 993-1651
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 5603 PR Primary

Addresses

Primary practice location

600 Ave Pinero
Condominio Parque. de Loyola TN, Apt. 505
San Juan, PR 00918-4058

Mailing address

600 Ave Pinero
Condominio Parque. de Loyola TN, Apt. 505
San Juan, PR 00918-4058

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5603PRMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760693626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 AVE PINERO",
            "address_2": "CONDOMINIO PARQUE. DE LOYOLA TN, APT. 505",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 AVE PINERO",
            "address_2": "CONDOMINIO PARQUE. DE LOYOLA TN, APT. 505",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184058",
            "telephone_number": "787-993-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JOSEFINA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PR",
            "license": "5603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, 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.

Verify at the official NPI Registry.