Organization Active NPI

Bronx Medical Care Assoc., P.C

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1851603898
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
161575 Issued in NY
Legal business name
BRONX MEDICAL CARE ASSOC., P.C
Practice address
1217 Castle Hill Ave
Bronx, NY 10462-4804
Phone
(718) 518-9200
Fax
(866) 789-9522
NPI assigned
Jul 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Dr. Luis A Diaz Jr., MD
Title
As President
Phone
(718) 518-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 161575 NY Primary

Addresses

Primary practice location

1217 Castle Hill Ave
Bronx, NY 10462-4804

Mailing address

1217 Castle Hill Ave
Bronx, NY 10462-4804
Phone (718) 518-9200

National Provider Directory

National Provider Directory

Locations

1217 Castle Hill Ave
#1
Bronx, NY 10462

1217 Castle Hill Ave
Bronx, NY 10462
Phone (718) 518-9200

1217 Castle Hill Ave
Fl 1
Bronx, NY 10462
Phone (718) 518-9200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1851603898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 CASTLE HILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624804",
            "telephone_number": "718-518-9200",
            "fax_number": "866-789-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 CASTLE HILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624804",
            "telephone_number": "718-518-9200",
            "fax_number": "866-789-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX MEDICAL CARE ASSOC., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AS PRESIDENT",
        "authorized_official_telephone_number": "718-518-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "161575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.