Active NPI
Mildred Janet Diaz, M.D.
- General Practice Physician
- Carolina, PR
National Provider Identifier
1770752008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11677
- Practice address
- 214 Calle Bromelia
Urb Valle Escondido
Carolina, PR 00987-8732 - Phone
- (787) 752-9006
- Fax
- (787) 752-9006
- NPI assigned
- Feb 20, 2008
- Last updated
- Feb 20, 2008
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11677 | PR | Primary |
Addresses
Primary practice location
214 Calle Bromelia
Urb Valle Escondido
Carolina, PR 00987-8732
Mailing address
214 Calle Bromelia
Urb Valle Escondido
Carolina, PR 00987-8732
Phone (787) 752-9006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3 Calle Munoz Rivera
Caguas, PR 00725-2602
Phone (787) 286-2800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11677 | PR | MD | General Practice Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Maintenance Organization
- Caguas, PR
- NPI 1205044013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1770752008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 CALLE BROMELIA",
"address_2": "URB VALLE ESCONDIDO",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009878732",
"telephone_number": "787-752-9006",
"fax_number": "787-752-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 CALLE BROMELIA",
"address_2": "URB VALLE ESCONDIDO",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009878732",
"telephone_number": "787-752-9006",
"fax_number": "787-752-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "MILDRED",
"middle_name": "JANET",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "11677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.