Candido Diaz Diaz Sr., M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

6700 Issued in PR

Practice address

14 Ave. Luis Munoz Marin
Villa Blanca
Caguas, PR 00725

Phone

(787) 743-0338

Fax

(787) 745-8090

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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 and National Provider Directory roles.

• Comefa Inc.

  • Clinic/Center
  • Caguas, PR
  • NPI 1346546165
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1083732085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6825",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266825",
            "telephone_number": "787-743-0338",
            "fax_number": "787-745-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 AVE. LUIS MUNOZ MARIN",
            "address_2": "VILLA BLANCA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-743-0338",
            "fax_number": "787-745-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ DIAZ",
        "first_name": "CANDIDO",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PR",
            "license": "6700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lourdes Diaz Agosto, RN
• Lydia Diaz Borras, M.D.
• Hector D Diaz Charles
• Eduardo Diaz del Valle, MD
• Maria Denisse Diaz del Valle, PT
• Adriana Gabriela Diaz Dopazo, NL
• Angelica M Diaz Garcia
• Nicole Marie Diaz Herandez
• Carmen I Diaz Lopez
• Lorna Elena Diaz Lozada, M.D.

• Adult Medicine Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Adult Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.