Jesus R Sierra Diaz, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12560 Issued in PR

Practice address

Calle Parque #32
Suite 3-a
Bayamon, PR 00959

Phone

(787) 778-8637

Fax

(787) 778-8637

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1023083128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "Q12 CALLE 11",
            "address_2": "URB SIERRA LIND",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009572126",
            "telephone_number": "787-778-8637",
            "fax_number": "787-778-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PARQUE #32",
            "address_2": "SUITE 3-A",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-778-8637",
            "fax_number": "787-778-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA DIAZ",
        "first_name": "JESUS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Servicios Terapeuticos Mayari, Inc.
• Karen Severino Sr., CP
• Yeraliz Severino, MSW
• William Omar Sevilla, LMT
• Juan P Sierra Calzada Sr., CRNA
• Adalee Silva Morales, PSY.D
• Damaris A Silva Santana, MD
• Eliezer Roberto Silva, M.D.
• Keila Silva
• Noel Silva, M.D.

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.