Active NPI
Nicole Diaz
- Nutritionist
- Cidra, PR
National Provider Identifier
1760863674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1902
- Practice address
- RR 02 Box 5342
Cidra, PR 00739 - Phone
- (787) 535-1001
- Fax
- (787) 535-1059
- NPI assigned
- Jun 16, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1902 | PR | Primary |
Addresses
Primary practice location
RR 02 Box 5342
Cidra, PR 00739
Mailing address
PO Box 372800
Cayey, PR 00737-2800
Phone (787) 535-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1902 | PR | MD | Social Worker |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Cayey, PR
- NPI 1750317764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1760863674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 372800",
"city": "CAYEY",
"state": "PR",
"postal_code": "007372800",
"telephone_number": "787-535-1001",
"fax_number": "787-535-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 02 BOX 5342",
"city": "CIDRA",
"state": "PR",
"postal_code": "00739",
"telephone_number": "787-535-1001",
"fax_number": "787-535-1059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cidra, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.