OrganizationActive
Martha E. Diaz D.D.S., P.C.
NPI 1043481765 · Preferred Provider Organization · Waukegan, IL
Provider details
- NPI number
- 1043481765
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Eugenio Sierra, Administrator(847) 599-3855
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2634 Grand Ave
Suite 207
Waukegan, IL 60085-2458
Phone: (847) 599-3855
Fax: (847) 599-3859
Street-level locationGet directions
Mailing address
2634 Grand Ave
Waukegan, IL 60085-2458
Registry dates
- Enumerated
- 2008-03-20
- Last updated
- 2008-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.