Individual provider Active NPI

Lydia Diaz Borras, M.D.

  • Specialist
  • Caguas, PR
National Provider Identifier
1053391805
Registry record updated May 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8799 Issued in PR
Practice address
202 Ave Gautier Benitez
Consolidated Mall C-1-a
Caguas, PR 00725
Phone
(787) 258-1123
Fax
(787) 258-1975
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8799 PR Primary

Addresses

Primary practice location

202 Ave Gautier Benitez
Consolidated Mall C-1-a
Caguas, PR 00725

Mailing address

PO Box 8669
Caguas, PR 00726-8669
Phone (787) 258-1123

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
I20100316000143 PR Practitioner - Internal Medicine 5597890657 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 Calle Gautier Benitez
Caguas, PR 00725-5512
Phone (787) 258-1123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Primaria Past Accepting new patients

Organizations & group practices 1

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273276800000",
    "number": "1053391805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8669",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007268669",
            "telephone_number": "787-258-1123",
            "fax_number": "787-258-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 AVE GAUTIER BENITEZ",
            "address_2": "CONSOLIDATED MALL C-1-A",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-258-1123",
            "fax_number": "787-258-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ BORRAS",
        "first_name": "LYDIA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2010-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "8799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.