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RAIDELYS AVILA DIAZ
NPI 1356920664
Student in an Organized Health Care Education/Training Program in Colorado Springs, CO

Active since April 05, 2021PECOS Enrolled
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907(719) 776-5816 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raidelys Avila Diaz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAIDELYS AVILA DIAZ (NPI 1356920664) is an individual student in an organized health care education/training program in Colorado Springs, Colorado and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356920664
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRAIDELYS AVILA DIAZ
Location Address2222 N NEVADA AVEColorado Springs, CO 80907-6819
Mailing Address2222 N Nevada AveColorado Springs, CO 80907-6819
Phone(719) 776-5816
Sole ProprietorNo
Enumeration DateApril 5, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1356920664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2222 N NEVADA AVE, Colorado Springs, CO 80907
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raidelys Avila Diaz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAROD MURDOCH
Student in an Organized Health Care Education/Training Program
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
El Paso County (719) 776-5816
BILLY R HILL RPH
Pharmacist
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
El Paso County (719) 776-5487
DR. FAHIM HASHMI M.D.
Radiology (Diagnostic Radiology)
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
El Paso County (516) 562-0100
USACS OBSERVATION MEDICINE SERVICES OF COLORADO, INC.
Emergency Medicine
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
El Paso County (844) 474-4019
FREDERICK M WORKMAN DO
Internal Medicine
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
El Paso County (719) 636-9393
VERONICA SERNA MD
Internal Medicine
2222 N NEVADA AVE, SUITE 2010
COLORADO SPRINGS, CO 80907
El Paso County (719) 475-9574
VINOD KRISHNAHARI GUNDU MD
Hospitalist
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
El Paso County (719) 776-8040
DR. LEVI J HILTON M.D.
Emergency Medicine
2222 N NEVADA AVE, EMERGENCY DEPARTMENT
COLORADO SPRINGS, CO 80907
El Paso County (719) 475-0414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raidelys Avila Diaz's NPI number?

The NPI number for Raidelys Avila Diaz is 1356920664. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Raidelys Avila Diaz located?

Raidelys Avila Diaz practices at 2222 N Nevada Ave, Colorado Springs, CO 80907. The listed phone number is (719) 776-5816.

What is Raidelys Avila Diaz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Raidelys Avila Diaz enrolled in Medicare?

Yes. Raidelys Avila Diaz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raidelys Avila Diaz was last updated on April 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.