MDD Child Neurology LLC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

MDD CHILD NEUROLOGY LLC

Practice address

1845 Bayamon Medical Plaza Carr 2
Suite 910
Bayamon, PR 00959

Phone

(787) 400-8452

NPI assigned

Aug 24, 2022

Last updated

Aug 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mayela Diaz Diaz, MDNPI 1508116120

Title

MD President

Phone

(787) 400-8452

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mayela M Diaz Diaz, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Bayamon, PR
  • NPI 1508116120
  NPD Authorized official

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1891414793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LAS COLINAS",
            "address_2": "M-4 COLINAS BUENA VISTA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-400-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 BAYAMON MEDICAL PLAZA CARR 2",
            "address_2": "SUITE 910",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-400-8452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Ave San Patricio",
            "address_2": "Suite 1070 Maramar Plaza",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "00968",
            "country_code": "US",
            "telephone_number": "787-400-8452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MDD CHILD NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "DIAZ DIAZ",
        "authorized_official_first_name": "MAYELA",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "787-400-8452",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Med Solutions Consulting Group, LLC
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• Medexpress Inc.
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• Neurology with Special Qualifications in Child Neurology Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.