Organization Active NPI

Dr Diego Gallardo Torres-Aguiar PSC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Vega Alta, PR
National Provider Identifier
1043843055
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
DR DIEGO GALLARDO TORRES-AGUIAR PSC
Practice address
36 Carr 2 Ste 302
Vega Alta, PR 00692-6092
Phone
(787) 883-6234
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Dr. Diego Gallardo Torres-Aguiar, DMD
Title
Oral and Maxillofacial Surgeon
Phone
(787) 883-6234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

36 Carr 2 Ste 302
Vega Alta, PR 00692-6092

Mailing address

36 Carr 2 Ste 302
Vega Alta, PR 00692-6092
Phone (787) 883-6234

Other practice location 1

Plaza Del Carmen Mall 22, Carr 172 Int Carr 1,
Caguas, PR 00725
Phone (787) 745-6220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250422000159 PR Part B Supplier - Clinic/Group Practice 4688199722 Receives reassigned benefits from 1 practitioner
Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

Locations

10 Ave Las Cumbres
Ste 201
Guaynabo, PR 00969
Phone (787) 233-7267

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1043843055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CARR 2 STE 302",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006926092",
            "telephone_number": "787-883-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CARR 2 STE 302",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006926092",
            "telephone_number": "787-883-6234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Plaza Del Carmen Mall 22, Carr 172 Int Carr 1,",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-745-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR DIEGO GALLARDO TORRES-AGUIAR PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "GALLARDO TORRES-AGUIAR",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "787-883-6234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.