DR. MARISA D DIAZ (NPI# 1073067294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073067294 |
| Entity Type | Individual |
| Full Name | DR. MARISA D DIAZ |
| Credential | PHD INTERN |
| Practice Address |
343 Larchmont Dr. San Antonio TX 78209 |
| Mailing Address |
7618 Gentle Bend Dr. San Antonio TX 78250 |
| Practice Telephone | 2108679841 |
| Practice Fax Number | 2108165900 |
| Mailing Telephone | 2108620982 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205386372 | Marisa Inez Diaz | Counselor | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2016-10-12 |
| 1649693631 | Marisa Diaz | Registered Nurse | 715 W Court St, Pasco, WA 99301-4153 | 2014-01-27 |
| Street Address |
343 LARCHMONT DR. |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003369497 | Argentina Balderrama | Social Worker | 343 Larchmont Dr., San Antonio, TX 78209 | 2016-08-02 |
| 1346799764 | Roy T. Walker | Student in an Organized Health Care Education/Training Program | 343 Larchmont Dr., San Antonio, TX 78209 | 2016-09-27 |
| 1396292207 | Jacqueline Del Fierro | Student in an Organized Health Care Education/Training Program | 343 Larchmont Dr., San Antonio, TX 78209 | 2016-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1851909147 | Shayan Ahmed | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # 7742, San Antonio, TX 78229-3901 | 2020-07-22 |
| 1306464524 | Nancy Mo | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio - Agdc, 8210 Floyd Curl Drive, Msc 8103, San Antonio, TX 78229-3923 | 2020-07-14 |
| 1073131587 | Keaton Shin | Student in an Organized Health Care Education/Training Program | 7123 Gallery Rdg, San Antonio, TX 78250-3305 | 2020-07-10 |
| 1619595154 | Sarah Connell | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Aegd, 8210 Floyd Curl Dr Msc 8103, San Antonio, TX 78229-3923 | 2020-07-10 |
| 1336767466 | Dalyssa Renee Gonzalez | Student in an Organized Health Care Education/Training Program | 24165 Ih 10 W Ste 125, San Antonio, TX 78257-1160 | 2020-07-06 |
| 1740807197 | Bradley James Miller | Student in an Organized Health Care Education/Training Program | 146 Agency Oaks, San Antonio, TX 78249-1538 | 2020-07-01 |
| 1396361085 | Tu Dao | Student in an Organized Health Care Education/Training Program | 8338 Hudson Holw, San Antonio, TX 78254-4588 | 2020-06-18 |
| 1386267730 | Juliana Gaviria Velasquez | Student in an Organized Health Care Education/Training Program | 5039 Hamilton Wolfe Rd Apt 1207, San Antonio, TX 78229-4457 | 2020-05-20 |
| 1477175065 | David Alonso Martinez | Student in an Organized Health Care Education/Training Program | 11659 Tribute Oaks, San Antonio, TX 78254-2103 | 2020-05-18 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
Please comment or provide details below to improve the information on DR. MARISA D DIAZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.