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DR. JESUS RODRIGO DIAZ SISO MD
NPI 1730640103
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 28, 2019PECOS Enrolled
550 1ST AVE, NEW YORK, NY 10016(212) 263-5800 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jesus Rodrigo Diaz Siso Md NPPES

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

DR. JESUS RODRIGO DIAZ SISO MD (NPI 1730640103) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730640103
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JESUS RODRIGO DIAZ SISOCredential: MD
Location Address550 1ST AVENew York, NY 10016-6402
Mailing Address4802 10th AveBrooklyn, NY 11219-2916
Phone(212) 263-5800
Sole ProprietorNo
Enumeration DateMarch 28, 2019
Last NPPES UpdateJune 24, 2021
NPPES CertifiedJune 24, 2021
✔ NPI 1730640103 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.
550 1ST AVE, New York, NY 10016
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Other Names 1

Professional Name (2)Dr. J. Rodrigo Diaz Siso Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jesus Rodrigo Diaz Siso 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.

DR. SHARON URALIL D.O.
Internal Medicine
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3293
DR. DIANA TREVAS FLEISHER
Emergency Medicine (Pediatric Emergency Medicine)
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3293
DR. MONICA GUPTA M.D.
Allergy & Immunology
550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016
New York County (212) 263-6397
CHRISTINE CHAN M.D.
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
DR. MATTHEW CHIARELLO MD
Radiology (Vascular & Interventional Radiology)
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
DR. MEGAN ELIZABETH JENKINS M.D.
Surgery
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-7300
DR. MANAN PATEL M.D.
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
VICKY CHIANG
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506

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 Jesus Diaz Siso's NPI number?

The NPI number for Jesus Diaz Siso is 1730640103. It was assigned to this individual provider in the NPPES registry on March 28, 2019. The provider is also known as Dr. J. Rodrigo Diaz Siso MD.

Where is Jesus Diaz Siso located?

Jesus Diaz Siso practices at 550 1st Ave, New York, NY 10016. The listed phone number is (212) 263-5800.

What is Jesus Diaz Siso's specialty?

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

Is Jesus Diaz Siso enrolled in Medicare?

Yes. Jesus Diaz Siso is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesus Diaz Siso was last updated on June 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.