Individual provider Active NPI

Veronica Diaz, FNP

  • Family Nurse Practitioner
  • Eagle Pass, TX
National Provider Identifier
1881365963
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1033757 Issued in TX
Practice address
2198 E Garrison St
Eagle Pass, TX 78852-5076
Phone
(830) 773-7662
NPI assigned
Sep 28, 2021
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1033757 TX Primary

Addresses

Primary practice location

2198 E Garrison St
Eagle Pass, TX 78852-5076

Mailing address

2993 Buena Vista Dr
Eagle Pass, TX 78852-6011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250530000604 TX Practitioner - Nurse Practitioner 1951810134 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1033757TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Centers Family CurrentSince May 5, 2025 Accepting new patients
United Medical Centers Family CurrentSince May 5, 2025 Accepting new patients
United Medical Centers Past Accepting new patients

Locations

2198 E Garrison St
Eagle Pass, TX 78852
Phone (830) 773-7662

2525 N Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 773-5358

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1881365963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2993 BUENA VISTA DR",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2198 E GARRISON ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525076",
            "telephone_number": "830-773-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "VERONICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1033757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

Verify at the official NPI Registry.