Provider Demographics
NPI:1669367306
Name:DIAZ, MELANIE CATHERINE
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:CATHERINE
Last Name:DIAZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11200 PERRIN BEITEL RD APT 1103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-2563
Mailing Address - Country:US
Mailing Address - Phone:726-582-3176
Mailing Address - Fax:
Practice Address - Street 1:11200 PERRIN BEITEL RD APT PERRIN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-2584
Practice Address - Country:US
Practice Address - Phone:726-582-3176
Practice Address - Fax:726-582-3176
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA0008388622376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide