Active NPI
Maribel Roca Diaz
- General Practice Registered Nurse
- Guaynabo, PR
National Provider Identifier
1912662958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 36963G
- Practice address
- 1 Roosevelt Avenue
Guaynabo, PR 00968 - Phone
- (787) 792-2144
- NPI assigned
- Nov 4, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 36963G | PR | Primary |
Addresses
Primary practice location
1 Roosevelt Avenue
Guaynabo, PR 00968
Mailing address
1 Roosevelt Ave
Guaynabo, PR 00968
Phone (787) 792-2144
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36963G | PR | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1912662958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ROOSEVELT AVE",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00968",
"telephone_number": "787-792-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROOSEVELT AVENUE",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00968",
"telephone_number": "787-792-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCA DIAZ",
"first_name": "MARIBEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-04",
"last_updated": "2021-11-04",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "PR",
"license": "36963G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
- Emily Robles Bachiller, PHARMD
- Isabelita Robles Barreto, DO
- Joaquin Robles Perez, 0214B
- Angel L Robles, DMD
- Yarielis Robles, PSY D
- Barbara Amarilis Roca
- Roced Inc (Clinica Medicina de Familia Y Asociados de Guaynabo)
- Carlos Rodriguez Adorno, 0710P
- Jose Efrain Rodriguez Agosto, MA
- Iliana Rodriguez Andino, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.