Pedro J Diaz, M.D

Primary specialty

SpecialistTaxonomy code 174400000X

License

35501 Issued in CO

Practice address

405 S Platte River Dr
Suite 1a
Denver, CO 80223-2069

Phone

(720) 221-3763

Fax

(720) 221-3248

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972625739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15012 PENSACOLA PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802393843",
            "telephone_number": "303-669-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S PLATTE RIVER DR",
            "address_2": "SUITE 1A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802232069",
            "telephone_number": "720-221-3763",
            "fax_number": "720-221-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "PEDRO",
        "middle_name": "J",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "35501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Diaz, M.D.
• Evelyn Diaz
• Jennifer Diaz
• Lymari Diaz, B.A.
• Melanie Diaz
• Veronica Diaz, CMT
• Phyllis A Dibbern, PT
• Courtney Taylor Dibble
• Tori Dibona, LMFT
• Alyson K Diciancia, BCBA

• All providers in Denver, CO
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.