Individual provider Active NPI

Felix Pereira Diaz, M.D

  • General Practice Dentistry
  • Trujillo Alto, PR
National Provider Identifier
1831108653
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
927 Issued in PR
Practice address
Carr. 181 Entrada Barrio la Gloria
Trujillo Alto, PR 00977-1109
Phone
(787) 760-4890
Fax
(787) 760-4890
NPI assigned
Aug 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
General Practice Dentistry 1223G0001X 927 PR Primary

Addresses

Primary practice location

Carr. 181 Entrada Barrio la Gloria
Trujillo Alto, PR 00977-1109

Mailing address

Carr. 181 Entrada Barrio la Gloria
Trujillo Alto, PR 00977-1109
Phone (787) 760-4890

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831108653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR. 181 ENTRADA BARRIO LA GLORIA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771109",
            "telephone_number": "787-760-4890",
            "fax_number": "787-760-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 181 ENTRADA BARRIO LA GLORIA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771109",
            "telephone_number": "787-760-4890",
            "fax_number": "787-760-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA DIAZ",
        "first_name": "FELIX",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, 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.