MEDICARE: MS. ADRIANA LUCIA DIAZ-ROSS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife

General Provider Information

NPI Number	:	1134076227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ADRIANA LUCIA DIAZ-ROSS

Provider Business Mailing Address
First Line	:	154 ERIE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3615
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	154 ERIE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3615
Country	:	US
Telephone Number	:	650-814-2851
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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