Individual provider Active NPI

Alberto Luis Diaz-Sanchez, DMD,MS,MPH

  • General Practice Dentistry
  • Bayamon, PR
National Provider Identifier
1063497485
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1687 Issued in PR
Practice address
Aguas Buenas Ave. BLK. 10 #14
Santa Rosa
Bayamon, PR 00959
Phone
(787) 780-7788
Fax
(787) 780-7788
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1687 PR Primary

Addresses

Primary practice location

Aguas Buenas Ave. BLK. 10 #14
Santa Rosa
Bayamon, PR 00959

Mailing address

Plaza 38 MQ-27
Monte Claro
Bayamon, PR 00961-3578
Phone (787) 780-7788

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161212000831 PR Order and Referring Only - DentistPractitioner - Dentist 3274813159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1063497485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA 38 MQ-27",
            "address_2": "MONTE CLARO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613578",
            "telephone_number": "787-780-7788",
            "fax_number": "787-780-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AGUAS BUENAS AVE. BLK. 10 #14",
            "address_2": "SANTA ROSA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-780-7788",
            "fax_number": "787-780-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-SANCHEZ",
        "first_name": "ALBERTO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DMD,MS,MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.