JUAN TADEO DIAZ (NPI# 1710092200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710092200 |
| Entity Type | Individual |
| Full Name | JUAN TADEO DIAZ |
| Credential | CFA/ LSA |
| Practice Address |
19702 Sternwood Manor Dr Spring TX 77379-5062 |
| Practice Telephone | 8329787548 |
| Practice Fax Number | 2813792565 |
| Mailing Telephone | 8329787548 |
| Mailing Fax Number | 2813792565 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
SA00202 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740791441 | Juan Diaz | Counselor | 3055 Nw 126th Ave Apt 103, Sunrise, FL 33323-6332 | 2017-10-20 |
| 1437458775 | Juan Carlos Diaz | Social Worker | 639 Madeline Ct, West Palm Beach, FL 33413-3452 | 2011-03-25 |
| 1275727844 | Juan F Diaz | Pharmacist | A-12 Calle Colina Del Yyunque, Urb Las Colinas, Toa Baja, PR 00949 | 2007-08-28 |
| 1275004459 | Juan Americo Diaz | Social Worker | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2018-12-16 |
| 1932683356 | Juan Jose Diaz | Physical Therapist | 10438 Iron Bridge Rd, Chester, VA 23831-1427 | 2018-09-21 |
| 1548785397 | Juan Diaz | Dentist | 2428 W Illinois Ave, Dallas, TX 75233-1106 | 2017-08-12 |
| 1952841397 | Juan Carlos Diaz | Counselor | 33 Guy Lombardo Ave, H.e.l.p. Services, Freeport, NY 11520-3637 | 2017-03-05 |
| 1205385788 | Juan Diaz | Physician Assistant | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2016-09-26 |
| 1467857722 | Juan Diaz | Marriage & Family Therapist | W175n11120 Stonewood Dr, Germantown, WI 53022-6511 | 2014-10-29 |
| 1669768149 | Juan Carlos Diaz | Preventive Medicine | 100 N Academy Ave, Danville, PA 17822 | 2011-06-23 |
| Street Address |
19702 STERNWOOD MANOR DR |
| City | SPRING |
| State | TX |
| Zip Code | 77379-5062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158661 | Hira Assad | Dentist | Spring Klein Endodontics, 6078 Farm To Market 2920, Spring, TX 77379 | 2020-03-05 |
| 1366924433 | Alicia R Horn | Counselor | 7109 Farm To Market 2920, Suite 600, Spring, TX 77379 | 2018-09-05 |
| 1235631714 | Jessica Renee Borrego | Physical Therapist | 16835 Deer Creek Driv, Spring, TX 77379 | 2018-03-01 |
| 1992217640 | Brianna Williams | Occupational Therapist | 17015 Lazy Hill Ln, Spring, TX 77379 | 2017-11-02 |
| 1558885392 | Quality Living Home Care,llc | In Home Supportive Care | 7614 Theisswood Rd, Spring, TX 77379 | 2017-08-02 |
| 1558899518 | Stuart James Rooney | Dentist | 8419 Louetta Rd Ste A, Spring, TX 77379 | 2017-06-02 |
| 1336674357 | Sonia Ann Varghese | Student in an Organized Health Care Education/Training Program | 7031 Villa Mountain Ln, Spring, TX 77379 | 2017-04-27 |
| 1063950459 | Magnificat Primary Care LLC | Clinic/Center | 17835 Kuykendahl Road, Spring, TX 77379 | 2017-02-06 |
| 1609312784 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 10833 Gleannloch Forest Drive, Spring, TX 77379 | 2017-01-12 |
| 1467996025 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 8687 Louetta Rd Ste 275, Spring, TX 77379 | 2016-12-15 |
| Find all providers in zip 77379 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
| 1245703248 | Mhl O.r. Assisting LLC | Physician Assistant | 25134 Butterwick Dr, Spring, TX 77389-3339 | 2019-01-02 |
| 1598290488 | Nomad Surgical Pro Pllc | Physician Assistant | 18703 Duke Lake Dr, Spring, TX 77388-2007 | 2017-04-27 |
| 1770926586 | Nandi Bailey | Physician Assistant | 2839 Spring Dusk Ln, Spring, TX 77373-6175 | 2013-04-10 |
| 1629368733 | David C Mccowan | Physician Assistant | 22202 Meandering Springs Dr, Spring, TX 77389-1463 | 2011-04-10 |
| 1700183985 | Alexander J Padilla | Physician Assistant | 9119 Glenfair Ct, Spring, TX 77379-3743 | 2011-02-23 |
| 1831490341 | Texas Orthopaedic Assistants | Physician Assistant | 5711 Sunset Oak, Spring, TX 77379-2743 | 2010-11-15 |
| 1508196395 | Eleazar Flores | Physician Assistant | 30715 Ginger Trace Dr, Spring, TX 77386 | 2009-12-30 |
| 1083843056 | Coastal Bend Surgical Assistants, Inc. | Physician Assistant | 19406 Creek Bend Dr, Spring, TX 77388-3095 | 2009-07-10 |
| 1851566020 | Michael Ben Andrew Riley | Physician Assistant | 8215 Lichen Ln, Spring, TX 77379-4517 | 2008-04-28 |
| Find all providers in SPRING | ||||
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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.