DIANA CAROLINA MARIN MD
NPI 1629871538
Student in an Organized Health Care Education/Training Program in Derby, CT

Active since March 28, 2025PECOS Enrolled
130 DIVISION ST, DERBY, CT 06418(203) 732-7327 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Diana Carolina Marin Md NPPES

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

DIANA CAROLINA MARIN MD (NPI 1629871538) is an individual student in an organized health care education/training program in Derby, Connecticut and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629871538
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDIANA CAROLINA MARINCredential: MD
Location Address130 DIVISION STDerby, CT 06418-1326
Mailing Address130 Division StDerby, CT 06418-1326 · (203) 732-7327
Sole ProprietorNo
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
NPI 1629871538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

130 DIVISION ST, Derby, CT 06418

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Diana Carolina Marin Md 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.

Radiology (Diagnostic Radiology)
130 DIVISION ST
DERBY, CT 06418
Internal Medicine
130 DIVISION ST
DERBY, CT 06418
Nurse Practitioner
130 DIVISION ST
DERBY, CT 06418
Physician Assistant (Surgical)
130 DIVISION ST
DERBY, CT 06418
Anesthesiology
130 DIVISION ST
DERBY, CT 06418
Anesthesiology
130 DIVISION ST
DERBY, CT 06418
Physician Assistant
130 DIVISION ST
DERBY, CT 06418
Pain Medicine (Interventional Pain Medicine)
130 DIVISION ST, 1ST FLOOR
DERBY, CT 06418

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629871538, enumerated as an "individual" on March 28, 2025.

The provider is located at 130 DIVISION ST DERBY, CT 06418 and the phone number is (203) 732-7327.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.