LESLIE DIAZ (NPI# 1083269575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083269575 |
| Entity Type | Individual |
| Full Name | LESLIE DIAZ |
| Practice Address |
141 E Main St Waterbury CT 06702-2310 |
| Practice Telephone | 2035749000 |
| Practice Fax Number | 2035749006 |
| Mailing Telephone | 2035749000 |
| Mailing Fax Number | 2035749006 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174922207 | Leslie Ann Diaz | Physical Therapist | 14813 N Dale Mabry Hwy Ste 720, Tampa, FL 33618-2027 | 2014-08-14 |
| 1750342689 | Leslie Erlinda Diaz | Internal Medicine | 840 Us Hwy One, Suite 120, North Palm Beach, FL 33408-3832 | 2006-03-30 |
| 1760903769 | Leslie Rachael Diaz | Behavioral Analyst | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2017-06-29 |
| 1750639126 | Leslie Kent Diaz Sr. | Optometrist | 4150 Tamiami Trl S, Venice, FL 34293-5130 | 2012-08-16 |
| Street Address |
141 E MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476548 | Mara Silva | Counselor | 141 E Main St, Waterbury, CT 06702-2310 | 2020-10-29 |
| 1861090979 | Kenndra Espinoza | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-10-12 |
| 1972118511 | Melissa Walder | Counselor | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-10 |
| 1083228944 | Miranda Curnane | Counselor | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-08 |
| 1154935005 | Victoria Lyons | Community Health Worker | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-08 |
| 1700490901 | Billie-jo Sauvron | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-04 |
| 1932713161 | Katherine Cichon | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-04 |
| 1497367544 | Mackenna Jacovich | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-08-20 |
| 1689285074 | Kimberly Porras | Community Health Worker | 141 E Main St, Waterbury, CT 06702-2310 | 2020-08-11 |
| 1013528405 | Elaine Mero | Community Health Worker | 141 E Main St, Waterbury, CT 06702-2310 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1265725584 | Zelda Shleifer | Audiologist | 21 W Main St Fl Place-3, Waterbury, CT 06702 | 2011-05-19 |
| 1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
| 1518090570 | Nathan Z Imre | Pharmacist | 161 East Main St Central Pharmacy, Waterbury, CT 06702 | 2007-03-13 |
| 1922149467 | Rachael A Petitti | Social Worker | 402 East Main Street, Waterbury, CT 06702 | 2007-02-09 |
| 1710024484 | Abbot Terrace Health Center | Assisted Living Facility | 44 Abbott Terrace, Waterbury, CT 06702 | 2007-01-31 |
| 1205994555 | Michael Arcangel Padilla | Social Worker | Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 | 2006-12-05 |
| 1205902723 | Colette M Anderson | Social Worker | 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-27 |
| Find all providers in zip 06702 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362847 | Nancy Elaine Rizza | Physician Assistant | 1389 W Main St Ste 120, Waterbury, CT 06708-3104 | 2018-07-10 |
| 1154516672 | Matthew Letko | Physician Assistant | 1389 W Main Street, Suite 120, Waterbury, CT 06708-3104 | 2007-09-07 |
| 1851439244 | Sara Whipple Coles | Physician Assistant | 8 S Commons Rd, Waterbury, CT 06704-1035 | 2007-02-01 |
| 1083237861 | Shalima Abdalla | Physician Assistant | 402 E Main St, Waterbury, CT 06702-1701 | 2020-05-27 |
| 1053813220 | Dylan Stempel | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2018-03-05 |
| 1538617204 | Kayla N Ingram | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1238 | 2016-09-12 |
| 1710338058 | Jaclyn Milano | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2016-06-28 |
| 1902255086 | Kaitlyn Jennings | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2016-06-08 |
| 1245613199 | Kalin Haley | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2015-07-09 |
| 1881077170 | Ashley Petruzzello | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2015-07-04 |
| Find all providers in WATERBURY | ||||
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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.