Clinica Diaz PSC
Organization Active NPI Internal Medicine Physician · Ponce, PR
NPI 1992906275 · NPPES record last updated Oct 6, 2023
Key facts
- NPI
- 1992906275
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 12997 (PR)
- Legal business name
- CLINICA DIAZ PSC
- Practice address
- 7813 Nazaret Urb Santa Maria
Ponce, PR 00717-1006 - Phone
- (787) 840-1053
- Fax
- (787) 842-6525
- NPI assigned
- May 31, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Nadja Diaz Baez, MD
- Title
- Presidente
- Phone
- (787) 840-1053
Practitioners 1
-
Nadja Diaz Baez, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240209002365 | PR | Part B Supplier - Clinic/Group Practice | 5698118313 |
Receives reassigned benefits from 1 practitioner Practice locations: Ponce, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 12997 | PR | Yes |
| General Practice Physician |
208D00000X | 14444 | PR |
Addresses
Primary practice location
7813 Nazaret Urb Santa Maria
Ponce, PR 00717-1006
Mailing address
7813 Nazaret Urb Santa Maria
Ponce, PR 00717-1006
Phone (787) 840-1053
Other providers in Ponce, PR
- Clinica Armonia LLC
- Clinica de Linfedema Deliz Bauza LLC
- Clinica de Medicina Primaria del Sur.CSP
- Clinica de Servicios Psicologicos Serenidad LLC
- Clinica del Dr Malave
- Clinica Familiar Coto Laurel Inc
- Clinica Interdiscplinaria de la Salud de la Pucpr
- Clinica Las Americas Guaynabo
- Clinica Las Americas Guaynabo
- Clinica Las Americas Guaynabo, Inc
All providers in Ponce, PR · Internal Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.