National Provider Identifier
Juan Carlos Diaz, B.A.
Juan Carlos Diaz, B.A. is listed in the NPPES registry with a primary specialty of Mental Health Clinic/Center (Including Community Mental Health Center) in Buffalo, NY and a listed phone number of (716) 416-9102.
Profile Overview
- NPI
- 1437458775
- Provider Type
- Individual
- Primary Specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Enumeration Date
- March 25, 2011
- Last Updated
- November 20, 2025
Practice Location
- 430 Niagara St
- Buffalo, NY 14201-1886
Phone: (716) 416-9102
Specialties
- Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X)
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1437458775
- Entity Type
- Individual
- Last Name
- Diaz
- First Name
- Juan
- Middle Name
- Carlos
- Credential
- B.A.
- Mailing Street Address
- 430 Niagara St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14201-1886
- Mailing Country
- US
- Mailing Phone
- (716) 416-9102
- Mailing Fax
- (716) 551-0891
- Practice Street Address
- 430 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14201-1886
- Practice Country
- US
- Practice Phone
- (716) 416-9102
- Practice Fax
- (716) 551-0891
- Enumeration Date
- March 25, 2011
- Last Updated
- November 20, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 20, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), Case Manager/Care Coordinator (171M00000X)