Coraly M Diaz Olivero

Primary specialty

Social WorkerTaxonomy code 104100000X

License

10038 Issued in PR

Practice address

Bo. Ceiba Sector Frontera Carr 782
KM 3.4
Cidra, PR 00739

Phone

(787) 594-6525

NPI assigned

Mar 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1821858382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007390141",
            "telephone_number": "787-594-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. CEIBA SECTOR FRONTERA CARR 782",
            "address_2": "KM 3.4",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-594-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ OLIVERO",
        "first_name": "CORALY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "PR",
            "license": "10038",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "10038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie N Cuilan, PHYSICAL THERAPY
• Cyrcorp
• Luis A De Jesus Miranda, DO
• Angelica De Jesus Surillo, MS/SLP
• Shantelle Natasha Del Valle
• Jose Manuel Diaz, MD
• Nicole Diaz
• Nilsa I. Diaz
• Maria Dopazo Sr., PHARM D
• Dra. Mariola Fernandez Rodriguez, LLC

• Social Worker in Cidra, PR
• Providers in Cidra, PR by specialty
• Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.