Individual provider Active NPI

Awilda Solis Diaz, M.D.

  • General Practice Physician
  • Yabucoa, PR
National Provider Identifier
1972658516
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7061 Issued in PR
Practice address
Cristobal Colon St
Suite 10
Yabucoa, PR 00767
Phone
(787) 893-8204
Fax
(787) 266-0180
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 7061 PR Primary

Addresses

Primary practice location

Cristobal Colon St
Suite 10
Yabucoa, PR 00767

Mailing address

PO Box 488
Yabucoa, PR 00767-0488
Phone (787) 893-8204

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drasolisawilda@yahoo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120620000700 PR Practitioner - General Practice 4284898396 Practice locations: Yabucoa, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Cristobal Colon No
Suite 10
Yabucoa, PR 00767-3332
Phone (787) 893-8204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1972658516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007670488",
            "telephone_number": "787-893-8204",
            "fax_number": "787-266-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CRISTOBAL COLON ST",
            "address_2": "SUITE 10",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-893-8204",
            "fax_number": "787-266-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS DIAZ",
        "first_name": "AWILDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "7061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drasolisawilda@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "drasolisawilda@yahoo.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Cristobal Colon St",
            "address_2": "Suite 10",
            "city": "Yabucoa",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yabucoa, PR

Sources for this page

Verify at the official NPI Registry.