Individual provider Active NPI

Mariane Charline Hernandez Diaz, LM, CPM, CLC

  • Midwife
  • Carolina, PR
National Provider Identifier
1992278725
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99295 Issued in TX
Practice address
J42 Calle J
Carolina, PR 00987-7135
Phone
(787) 678-0207
NPI assigned
Jan 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 99295 TX Primary

Addresses

Primary practice location

J42 Calle J
Carolina, PR 00987-7135

Mailing address

PO Box 9299
Carolina, PR 00988-9299
Phone (787) 678-0207

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

LicenseStateTypeSpecialty
99295TXMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1992278725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9299",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009889299",
            "telephone_number": "787-678-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J42 CALLE J",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009877135",
            "telephone_number": "787-678-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ DIAZ",
        "first_name": "MARIANE",
        "middle_name": "CHARLINE",
        "credential": "LM, CPM, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.