Manuel A. Diaz, M.D.

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

8649 Issued in PR

Practice address

Edif Caparra Gallery
Ave. Gonzales Giusti No. 170 Suite 300
Guaynabo, PR 00966-2515

Phone

(787) 531-6840

Fax

(787) 782-4268

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851420004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANSIONS OF GARDEN HILLS COND.",
            "address_2": "APT. 1-G 3RD ST. TOWER SOUTH",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009660000",
            "telephone_number": "787-782-4268",
            "fax_number": "787-782-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF CAPARRA GALLERY",
            "address_2": "AVE. GONZALES GIUSTI NO. 170 SUITE 300",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662515",
            "telephone_number": "787-531-6840",
            "fax_number": "787-782-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MANUEL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "PR",
            "license": "8649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrna E. Diaz-Ortiz
• Maria de Lourdes Diaz-Otero, R.PH.
• Marlen Nicole Diaz-Pou, M.D.
• Edna Cristina Diaz-Sierra, PHARMD
• Jessibel M Diaz, M.A.
• Maria Elena Diaz, RPH
• Maria M. Diaz, DMD
• Yina Elizabet Diaz, PHD
• Dietrich Dental P.S.C
• Directlab LLC

• Addiction Medicine (Psychiatry & Neurology) Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Puerto Rico

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.