Active NPI
Janezaliz C Diaz, OPTICIAN
- Optician
- San Juan, PR
National Provider Identifier
1841562832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 767
- Practice address
- Portal de la Reina
Apt 308
San Juan, PR 00924-5755 - Phone
- (787) 647-5096
- NPI assigned
- Feb 6, 2012
- Last updated
- Feb 6, 2012
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 767 | PR | Primary |
Addresses
Primary practice location
Portal de la Reina
Apt 308
San Juan, PR 00924-5755
Mailing address
Portal de la Reina
Apt 308
San Juan, PR 00924-5755
Phone (787) 647-5096
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
| License | State | Type | Specialty |
|---|---|---|---|
| 767 | PR | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1841562832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PORTAL DE LA REINA",
"address_2": "APT 308",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009245755",
"telephone_number": "787-647-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PORTAL DE LA REINA",
"address_2": "APT 308",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009245755",
"telephone_number": "787-647-5096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "JANEZALIZ",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-06",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.