Individual provider Active NPI

Diarinevis Mirell Iglesias

  • Family Nurse Practitioner
  • Guaynabo, PR
National Provider Identifier
1821805110
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5437 Issued in PR
Practice address
Highland Gardens, C-5, Calle Acuarela
Guaynabo, PR 00969
Phone
(787) 998-7899
NPI assigned
Dec 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5437 PR Primary

Addresses

Primary practice location

Highland Gardens, C-5, Calle Acuarela
Guaynabo, PR 00969

Mailing address

Bo. la Ponderosa Calle Lirio 618
Rio Grande, PR 00745
Phone (939) 428-1152

Other practice location 1

122, 38 Av. Dr. Sanchez Castano
carolina, PR 00985
Phone (787) 701-7329

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

LicenseStateTypeSpecialty
5437PRMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1821805110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO. LA PONDEROSA CALLE LIRIO 618",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "939-428-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHLAND GARDENS, C-5, CALLE ACUARELA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-998-7899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122, 38 Av. Dr. Sanchez Castano",
            "address_purpose": "LOCATION",
            "city": "carolina",
            "state": "PR",
            "postal_code": "00985",
            "country_code": "US",
            "telephone_number": "787-701-7329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "DIARINEVIS",
        "middle_name": "MIRELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PR",
            "license": "5437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.