Individual provider Active NPI

Bernardo Jose Marques Diaz, M.D.

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1013910231
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11700 Issued in PR
Practice address
310 Lomas Verdes Ave. Suite 208
San Juan, PR 00927-6638
Phone
(787) 751-3150
Fax
(787) 767-0338
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 11700 PR Primary

Addresses

Primary practice location

310 Lomas Verdes Ave. Suite 208
San Juan, PR 00927-6638

Mailing address

310 Lomas Verdes Ave. Suite 208
San Juan, PR 00927-6638
Phone (787) 751-3150

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040405001314 PR Practitioner - Diagnostic Radiology 3173429420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ponce School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Maria Radiology, PSCGroup PAC ID 1153311691, 2 clinicians

Practice addresses (Care Compare)

310 Ave Lomas Verdes
Suite 208
San Juan, PR 00927-6638
Phone (787) 751-3150

Merit-based Incentive Payment System (MIPS)

Final score
13.33 of 100Reported as individual
Quality
26.67
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11700PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Maria Radiology, PSC Diagnostic Radiology CurrentSince Apr 12, 2004 Accepting new patients
Instituto Central de Diagnostico Inc Diagnostic Radiology Past Accepting new patients
M & P Radiologos, LLC Diagnostic Radiology Past Accepting new patients
Centro Tomografico de PR Inc Past Accepting new patients
Molecular Imaging PSC Past Accepting new patients
Diagnostic Imaging Center, PSC Past Accepting new patients
Somascan Plaza Inc Past Accepting new patients

Locations

310 Ave Lomas Verdes
Ste 208
San Juan, PR 00927
Phone (787) 585-0385

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1013910231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 LOMAS VERDES AVE. SUITE 208",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276638",
            "telephone_number": "787-751-3150",
            "fax_number": "787-767-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LOMAS VERDES AVE. SUITE 208",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276638",
            "telephone_number": "787-751-3150",
            "fax_number": "787-767-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUES DIAZ",
        "first_name": "BERNARDO",
        "middle_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "11700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.