Individual provider Active NPI

Jose Luis Diaz-Garcia, M.D.

  • Pediatrics Physician
  • Rio Piedras, PR
National Provider Identifier
1053451708
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
3563 Issued in PR
Practice address
1107 Calle William Jones
Altos
Rio Piedras, PR 00925-3441
Phone
(787) 764-8018
Fax
(787) 763-5801
NPI assigned
Feb 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 3563 PR Primary

Addresses

Primary practice location

1107 Calle William Jones
Altos
Rio Piedras, PR 00925-3441

Mailing address

N37 Calle Chapultepec
Park Gardens
San Juan, PR 00926-2122
Phone (787) 761-3962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3563PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medicina Familia Y Geriatria Rio Piedras, Inc. Past Accepting new patients
Centro Medicina Familia Geriatria Dr. Luis Izquierdo Mora Past Accepting new patients

Organizations & group practices 2

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053451708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N37 CALLE CHAPULTEPEC",
            "address_2": "PARK GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262122",
            "telephone_number": "787-761-3962",
            "fax_number": "787-763-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CALLE WILLIAM JONES",
            "address_2": "ALTOS",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009253441",
            "telephone_number": "787-764-8018",
            "fax_number": "787-763-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-GARCIA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "3563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.