RAFAEL ROBERTO DIAZ (NPI# 1417165432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417165432 |
| Entity Type | Individual |
| Full Name | RAFAEL ROBERTO DIAZ |
| Credential | MD.CSA |
| Practice Address |
11607 Bay Ledge Dr Pearland TX 77584-8189 |
| Mailing Address |
Po Box 270592 Houston TX 77277-0592 |
| Practice Telephone | 1738060896 |
| Mailing Telephone | 7138060896 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | SA00240 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144709759 | Rafael Diaz | Behavior Technician | 1634 W 74th St, Hialeah, FL 33014-3731 | 2018-08-14 |
| 1932244894 | Rafael Agustin Diaz | Dentist | 308 Calle Fernandez Garcia, Luquillo, PR 00773-2233 | 2007-02-20 |
| 1972590842 | Rafael Angel Diaz | General Practice | Sanchez Osorio Ave 5h, Villa Fontana Park, Carolina, PR 00983 | 2005-10-05 |
| 1720087737 | Rafael Angel Diaz | Optometrist | 1050 Se Monterey Rd, Ste 103, Stuart, FL 34994-4512 | 2005-07-20 |
| 1467847103 | Rafael Miguel Diaz | Psychologist | 1144 Sonoma Ave, Suite 104, Santa Rosa, CA 95405-4812 | 2015-03-31 |
| 1235293218 | Rafael L. Diaz | Obstetrics & Gynecology | 2410 Fire Mesa St, Suite 130, Las Vegas, NV 89128-9016 | 2006-12-21 |
| Street Address |
11607 BAY LEDGE DR |
| City | PEARLAND |
| State | TX |
| Zip Code | 77584-8189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588872162 | Diaz Bernhard Inc. | Physician Assistant | 11607 Bay Ledge Dr, Pearland, TX 77584-8189 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181281 | Joyce Ann Fugit | Technician | 8024 Serenity Dr., Pearland, TX 77584 | 2020-10-16 |
| 1558916403 | Houston Mint Dentistry, Pllc | Dentist | 12568 Broadway St Ste 140, Pearland, TX 77584 | 2019-08-07 |
| 1982259198 | Pearland Unicare Pharmacy LLC | Pharmacy | 10970 Shadow Creek Parkway Suite 110.2, Pearland, TX 77584 | 2019-08-05 |
| 1972155869 | Parastoo Natasha Coselli | Dentist | 2811 Buisness Dr Unit 105, Pearland, TX 77584 | 2019-07-11 |
| 1679042030 | Dorothy B Smith-hubbard | Counselor | 919 Norfolk Dr., Pearland, TX 77584 | 2018-11-15 |
| 1720562499 | Kelly Jean Barba | Physical Therapy Assistant | 3406 Businesses Center Dr, Pearland, TX 77584 | 2018-09-19 |
| 1437631884 | Laura Gillet | Registered Nurse | 3306 Summerwood Lane, Pearland, TX 77584 | 2018-09-02 |
| 1881176204 | Sharry Magne Rivera Estrella | Registered Nurse | 11900 Shadow Creek Parkway Apt 1311, Pearland, TX 77584 | 2018-09-01 |
| 1962982264 | Shara Elizabeth Watts | Occupational Therapist | 12001 Shadow Creek Pwky, Pearland, TX 77584 | 2018-08-16 |
| 1457830861 | Melvin Thomas | Dentist | 3215 Souther Green Drive, Pearland, TX 77584 | 2018-08-08 |
| Find all providers in zip 77584 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992346993 | Aylar Ansaritalesh | Physician Assistant | 2508 Summer Creek Dr, Pearland, TX 77584-7206 | 2019-10-01 |
| 1104287382 | Elsa Cortez Isenberg | Physician Assistant | 1406 Silver Maple Ln, Pearland, TX 77581-5876 | 2016-03-15 |
| 1528465234 | Allison Nicole Sanchez | Physician Assistant | 12234 Shadow Creek Pkwy Ste 104, Pearland, TX 77584-7330 | 2014-11-24 |
| 1821310947 | Lynzee Christine Buntyn | Physician Assistant | 10970 Shadow Creek Pkwy Ste 360, Pearland, TX 77584-0123 | 2010-02-16 |
| 1366613408 | Tanya Suzanne Foley | Physician Assistant | 1816 Meadow Creek Dr, Pearland, TX 77581-5648 | 2008-03-17 |
| 1588872162 | Diaz Bernhard Inc. | Physician Assistant | 11607 Bay Ledge Dr, Pearland, TX 77584-8189 | 2007-05-18 |
| 1861547655 | Dick A. Rensch | Physician Assistant | 3114 Timberwood Dr, Pearland, TX 77584-3817 | 2007-01-24 |
| 1992748511 | Sharon N. Lambi | Physician Assistant | 1710 Broadway St., Pearland, TX 77581 | 2006-06-13 |
| 1417930157 | Shauna Addison Mclaughlin | Physician Assistant | 2950 Cullen Parkway, Suite 202, Pearland, TX 77584 | 2005-11-28 |
| 1033717640 | Rachael Farmilette | Physician Assistant | 2017 Broadway St Ste A, Pearland, TX 77581-5501 | 2020-10-15 |
| Find all providers in PEARLAND | ||||
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| 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.