Active NPI
Victor Diaz Sr., BSN
- General Practice Registered Nurse
- Naguabo, PR
National Provider Identifier
1902298169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 32961
- Practice address
- HC 1 Box 4970 - Y
Naguabo, PR 00718 - Phone
- (939) 940-8042
- NPI assigned
- Feb 25, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 32961 | PR | Primary |
Addresses
Primary practice location
HC 1 Box 4970 - Y
Naguabo, PR 00718
Mailing address
HC 1 Box 4970 - Y
Naguabo, PR 00718
Phone (939) 940-8042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32961 | PR | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1902298169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 4970 - Y",
"city": "NAGUABO",
"state": "PR",
"postal_code": "00718",
"telephone_number": "939-940-8042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 1 BOX 4970 - Y",
"city": "NAGUABO",
"state": "PR",
"postal_code": "00718",
"telephone_number": "939-940-8042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "VICTOR",
"name_suffix": "Sr.",
"credential": "BSN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-25",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "PR",
"license": "32961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naguabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.