Lilliam M Diaz, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

12104 Issued in PR

Practice address

Bo Rincon Sector Las Lomas Carr #14 KM 72-2
Edificio Profesional Hospital Menonita
Cayey, PR 00736

Phone

(787) 535-1001

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Diagnostic Radiology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Menonita de CayeyGroup PAC ID 2466449657, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Menonita de Cayey Hospital, Cayey, PR, CCN 400013

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hospital Menonita de Cayey

  • General Acute Care Hospital
  • Cayey, PR
  • NPI 1750317764
  Medicare reassignment Care Compare group NPD
• Hospital Menonita Caguas Inc

  dba Grupo Medico Menonita de Caguas

  • Specialist
  • Caguas, PR
  • NPI 1295327625

  Diagnostic Radiology

  Medicare reassignment NPD
• Hospital Menonita Caguas Inc

  • Rehabilitation Hospital Unit
  • Caguas, PR
  • NPI 1871164871
  NPD
• Hospital Menonita de Cayey

  dba Grupo Medico Menonita de Cayey

  • Specialist
  • Cayey, PR
  • NPI 1255461893

  Diagnostic Radiology

  NPD
• Advanced MRI Group of PR,P.S.C.

  • Radiology Clinic/Center
  • Cayey, PR
  • NPI 1831205715
  NPD (past)

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

• Hospital Menonita de Cayey

  • General Acute Care Hospital
  • Cayey, PR
  • NPI 1750317764
  Care Compare affiliation

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1053377523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALLE MARGINAL APT 322",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009698415",
            "telephone_number": "787-646-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO RINCON SECTOR LAS LOMAS CARR #14 KM 72-2",
            "address_2": "EDIFICIO PROFESIONAL HOSPITAL MENONITA",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-535-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Turabo Gardens, Carr. 172, Salida 21",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007277084",
            "country_code": "US",
            "telephone_number": "787-653-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LILLIAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "12104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7360053",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teisha Marie Diaz Velez, OTR/L
• Jaime E Diaz Vicente, D.M.D
• Eduardo Diaz
• Eusebio A. Diaz, DMD
• Karla Michelle Diaz, CERT.010858
• Lourdes Diaz
• Dr Eric D Aviles Rivera PSC
• Dr. Francisco Vazquez P.S.C.
• Dr. Francisco Vazquez P.S.C.
• Dra. Irma Santiago DMD PSC

• Diagnostic Radiology Physician in Cayey, PR
• Providers in Cayey, PR by specialty
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.