Antonio Luis Diaz Hernandez, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

17173 Issued in PR

Practice address

1492 Ave la Constitucion Suite 717
Edificio Centro Europa
San Juan, PR 00907-9570

Phone

(787) 723-5017

NPI assigned

Jul 20, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

Ponce School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC Santa Juanita Dialysis facility, Bayamon, PR, CCN 402543
• Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019
• Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: sjcadiaz@yourcarecommunity.org
• Direct secure messaging: adiazhernandez@2621.securemail.prognocis.com
• Direct secure messaging: antonio.diazhernandez@3390.securemail.prognocis.com
• Direct secure messaging: antonio.diazhernandez@4221.securemail.prognocis.com

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Am Acquisition I, LLC

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1518732700
  Care Compare affiliation
• Metro Santurce, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1467417865
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1003016775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LA SIERRA DEL RIO",
            "address_2": "300 AVE LA SIERRA BOX 23",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264331",
            "telephone_number": "787-240-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 AVE LA CONSTITUCION SUITE 717",
            "address_2": "EDIFICIO CENTRO EUROPA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009079570",
            "telephone_number": "787-723-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ HERNANDEZ",
        "first_name": "ANTONIO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "26095",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "17173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flor Maria Diaz Fontan, M.D.
• Erik Anthony Diaz Garcia
• Adria Teresa Diaz Gierbolini, M.D.
• Eddy Silvano Diaz Godoy, DC
• Luz Darleny Diaz Gomez, MD
• Emma Rosa Diaz Hernandez, PH.D.
• Juan J Diaz Hernandez, M.D.
• Sara Marie Diaz Jimenez
• Giovannie Miguel Diaz Lopez, CRNA
• Ricardo Diaz Marmolejos

• Nephrology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Nephrology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.