Victor Ivan Diaz Jr.

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

31105102 Issued in PR

Practice address

700 Calle Dr Pavia Fernandez
San Juan, PR 00909-2758

Phone

(787) 496-0818

NPI assigned

Jul 31, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Centro Ararat Inc

  • Multi-Specialty Clinic/Center
  • San Juan, PR
  • NPI 1902456221
  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1922522010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CALLE DR PAVIA FERNANDEZ STE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CALLE DR PAVIA FERNANDEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092758",
            "telephone_number": "787-496-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "VICTOR",
        "middle_name": "IVAN",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "PR",
            "license": "31105102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalyn Diaz, M.D.
• Sandra M Diaz, ATO
• Sara Diaz, M.D
• Solimar Diaz, M.D.
• Veronica Diaz, M.S.W.
• Waleska Diaz, MSW
• Wanda Diaz, BS, RPH, LND, CDE
• Wanda Ivelisse Diaz
• Wilfredo Diaz, MD
• Yamilette Diaz

• Prevention Professional in San Juan, PR
• Providers in San Juan, PR by specialty
• Prevention Professional in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.