Active NPIIndividual provider

Jesse E Diaz Correa, MD

Internal Medicine, Nephrology in Humacao, Puerto Rico

NPI Number1609242288
Practice location
Legacy Senior Living Puerto Rico, 50 Calle Victoria, Suite 24, Humacao, PR 00791
Fax
—
Last updated
January 18, 2025

Jesse E Diaz Correa is an Internal Medicine, Nephrology based in Humacao, PR. Jesse E Diaz Correa practices in Humacao, PR and has the professional credentials of MD. The NPI Number for Jesse E Diaz Correa is 1609242288 and holds a License No. 21298 (PR). The current practice location address for Jesse E Diaz Correa is Legacy Senior Living Puerto Rico, 50 Calle Victoria, Suite 24, Humacao, PR 00791 and can be reached out via phone at 787-656-0161.

Provider Profile Details

NPI Number
1609242288
Provider Name
Jesse E Diaz Correa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Legacy Senior Living Puerto Rico, 50 Calle Victoria, Suite 24, Humacao, PR 00791
Phone Number
787-656-0161
Primary Taxonomy
Internal Medicine, Nephrology · 207RN0300X
Sole Proprietor
No
Provider Enumeration Date
August 18, 2015
Last Update Date
January 18, 2025
Certification Date
January 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
Legacy Senior Living Puerto Rico
50 Calle Victoria, Suite 24
Humacao, PR 00791
Zip
00791
Phone Number
787-656-0161
Humacao, PR 00791Get directions →

Provider Business Mailing Address Details

Address
Po Box 8418
Humacao, PR 00792-8418
City
Humacao
State
PR
Zip
00792-8418
Phone Number
939-902-4200

License Information

License Number (1)
21298
License State (1)
PR
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
21298
License State (2)
PR
Taxonomy (2)
Internal Medicine, Nephrology · 207RN0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jesse E Diaz Correa, MD?

The NPI number of Jesse E Diaz Correa, MD is 1609242288. It was assigned on August 18, 2015 and is currently active in the NPPES registry.

What is the specialty of Jesse E Diaz Correa, MD?

Jesse E Diaz Correa, MD is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in PR under license number 21298.

Where does Jesse E Diaz Correa, MD practice?

The practice location is Legacy Senior Living Puerto Rico, 50 Calle Victoria, Suite 24, Humacao, PR 00791. The office can be reached at 787-656-0161 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609242288 directly on the NPPES registry website.

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