Jose Ricardo Diaz, MeD
Community Health Worker in Brooklyn, NY. Individual provider (NPI-1).
NPI number1144727751
StatusActive
Last updated in NPPESJan 15, 2026
Details
- NPI
- 1144727751
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jose Ricardo Diaz
- Credential
- MeD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2018
- Certification date
- Jan 15, 2026
- Last updated
- Jan 15, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
2102 Avenue Z Ste 304Brooklyn, NY 11235-3084
Phone 347-921-3250 · Fax 347-779-0433
Mailing address
2102 Avenue Z Ste 304Brooklyn, NY 11235-3084
Phone 347-921-3250 · Fax 347-779-0433
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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