Individual provider Active NPI

William Titley Diaz, MD

  • Student in an Organized Health Care Education/Training Program
  • Carolina, PR
National Provider Identifier
1841747144
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
21541 Issued in PR
Practice address
Hospital Upr Federico Trilla Ave 65 Infanteria
Primer Piso Area Administrativa
Carolina, PR 00984
Phone
(787) 769-4520
NPI assigned
Sep 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 14929I PR
General Practice Physician 208D00000X 21541 PR
Student in an Organized Health Care Education/Training Program 390200000X 21541 PR Primary

Addresses

Primary practice location

Hospital Upr Federico Trilla Ave 65 Infanteria
Primer Piso Area Administrativa
Carolina, PR 00984

Mailing address

Carretera 3 KM 8.3 Ave 65 Infanteria
Hospital Upr Federico Trilla
Carolina, PR 00984
Phone (787) 769-4520

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201009000144 PR Practitioner - General Practice 5991125130 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14929IPRMDSurgery Physician
21541PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1841747144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARRETERA 3 KM 8.3 AVE 65 INFANTERIA",
            "address_2": "HOSPITAL UPR FEDERICO TRILLA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00984",
            "telephone_number": "787-769-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL UPR FEDERICO TRILLA AVE 65 INFANTERIA",
            "address_2": "PRIMER PISO AREA ADMINISTRATIVA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00984",
            "telephone_number": "787-769-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITLEY DIAZ",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-02",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "14929I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21541",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "21541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.