Individual provider Active NPI

Pedro Angel Diaz-Bretana, MD

  • Obstetrics & Gynecology Physician
  • Caguas, PR
National Provider Identifier
1043279334
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12787 Issued in PR
Practice address
Ave. Gautier Benitez # 195
Caguas, PR 00725
Phone
(787) 703-5353
Fax
(787) 703-5353
NPI assigned
Mar 23, 2006
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 12787 PR Primary

Addresses

Primary practice location

Ave. Gautier Benitez # 195
Caguas, PR 00725

Mailing address

PO Box 785
San Lorenzo, PR 00754-0785
Phone (787) 703-5353

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
I20091228000423 PR Practitioner - Obstetrics/Gynecology 6406996370 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012787PRMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Jan 15, 2013 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jan 15, 2013 Accepting new patients
Hospital Menonita Caguas Inc Gynecology Past Accepting new patients
Centro Obstetricia Y Ginecologia Obstetrics & Gynecology Past Accepting new patients
Metro Caguas Incorporated Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1043279334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007540785",
            "telephone_number": "787-703-5353",
            "fax_number": "787-703-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. GAUTIER BENITEZ # 195",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-703-5353",
            "fax_number": "787-703-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-BRETANA",
        "first_name": "PEDRO",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "12787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.