DR. CARLOS ELVIN DIAZ (NPI# 1093797011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093797011 |
Entity Type | Individual |
Full Name | DR. CARLOS ELVIN DIAZ |
Credential | MD |
Practice Address |
1515 S 8th St Deming NM 88030-4940 |
Mailing Address |
4800 N 22nd St Phoenix AZ 85016-4701 |
Practice Telephone | 5755443937 |
Practice Fax Number | 5755462870 |
Mailing Telephone | 6029551000 |
Mailing Fax Number | 6025084830 |
Enumeration Date | 2005-11-16 |
Last Update Date | 2019-04-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | MD2014-0132 | NM | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | 48484 | AZ | Allopathic & Osteopathic Physicians |
N | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
MD2014-0132 | NM | Allopathic & Osteopathic Physicians |
Y | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
48484 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | MEDICARE PIMA PTAN | Z163113 | 01 |
AZ | 878342 | 05 | |
NM | MD2014-0132 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1151 S La Canada Dr Ste 200, Green Valley, AZ 856141943 | 6029551000 | 6025084830 |
2680 E Valencia Rd Ste 188, Tucson, AZ 857065962 | 5207908888 | 5207901427 |
5632 E 5th St, Tucson, AZ 857112444 | 5207908888 | 5207901427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073975405 | Carlos Ricardo Diaz | Internal Medicine | 5600 N Airport Rd, Milton, FL 32583-8658 | 2016-03-24 |
1972808020 | Carlos Diaz | Mechanotherapist | 6009 W Fern St, Tampa, FL 33634-5136 | 2011-01-21 |
1801124011 | Carlos A Diaz | Specialist | 209 Old Mill Rd, Manhasset, NY 11030-3438 | 2009-11-28 |
1922201243 | Carlos Juan Diaz | Chiropractor | 3638 W Esplanade Ave S, Metairie, LA 70002-3226 | 2007-06-06 |
1972637767 | Carlos Antonio Diaz | Obstetrics & Gynecology | Ic 19 Lomas Verdes Ave, Bayamon, PR 00956-3116 | 2007-03-15 |
1043287048 | Carlos Gilberto Diaz | Psychiatry & Neurology | 202 E Earll Dr Ste 200, Phoenix, AZ 85012-2647 | 2006-03-08 |
1093701062 | Carlos Ruben Diaz | Internal Medicine | 1449 Calle Americo Salas, Edificio Pavia II, Suite 102, Santurce, PR 00909-2100 | 2005-09-23 |
1770125098 | Carlos Diaz | Physician Assistant | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2019-10-09 |
1295385656 | Carlos Diaz Jr. | Case Manager/Care Coordinator | 7415 Henrietta Dr, Sacramento, CA 95822-5142 | 2019-09-18 |
1881160687 | Carlos Diaz | Student in an Organized Health Care Education/Training Program | 10300 Sw 216th St, Cutler Bay, FL 33190-1003 | 2018-10-18 |
Street Address |
1515 S 8TH ST |
City | DEMING |
State | NM |
Zip Code | 88030-4940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881987428 | Southwestern Eye Center Ltd | Durable Medical Equipment & Medical Supplies | 1515 S 8th St, Deming, NM 88030-4940 | 2011-05-16 |
1457502221 | Brian John Petracca | Optometrist | 1515 S 8th St, Deming, NM 88030-4940 | 2008-10-09 |
1881882496 | Robert A Graor, M.d. | Internal Medicine | 1515 S 8th St, Deming, NM 88030-4940 | 2007-10-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497301824 | Gila Regional Medical Center | Family Medicine | 901 S. Gold Avenue, Deming, NM 88030 | 2019-08-12 |
1437621943 | Lloyd's Water Pal Corporation | Pharmacist | 622 West First Street, Soon Other At Other : 8700 East Fourth Street, Deming, NM 88030 | 2018-12-21 |
1649768672 | Beatrice Kasey Jackson | Behavior Technician | 1411 S Socorro St, Deming, NM 88030 | 2018-04-25 |
1376062174 | Suzzana M Weber | Social Worker | 1321 E Poplar Ave, Deming, NM 88030 | 2017-09-12 |
1477073823 | Rocky Mountain Holdings Ll C | Ambulance | 2865 Raymond J. Reed Blvd Se, Deming, NM 88030 | 2017-06-26 |
1124419627 | Ambercare Medical Supply Co. | Durable Medical Equipment & Medical Supplies | 707 E Pine St, Suite A, Deming, NM 88030 | 2015-02-05 |
1508288598 | Brian Plasters | Case Manager/Care Coordinator | 9025 Hwy 377 Ne, Deming, NM 88030 | 2014-01-10 |
1275884785 | Marcos A Reyna | Counselor | 125 Chaparral Blvd. Nw, Deming, NM 88030 | 2012-09-24 |
1487963831 | Juanita A. Smith | Case Manager/Care Coordinator | 901 West Hickory, Deming, NM 88030 | 2010-10-04 |
1659504231 | Marylou H Lozano | Case Manager/Care Coordinator | 901 West Hickory St, Deming, NM 88030 | 2009-08-28 |
Find all providers in zip 88030 |
Taxonomy Code | 207WX0009X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Glaucoma Specialist |
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. |
Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2017: new] Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org |
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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.