Organization Active NPI

Doramed Medical Office

  • General Practice Physician
  • Toa Alta, PR
National Provider Identifier
1093031049
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DORAMED MEDICAL OFFICE
Practice address
Carr. 165 KM 4.0 Bo. Quebrada Cruz
Toa Alta, PR 00953
Phone
(787) 870-2938
Fax
(787) 870-2938
NPI assigned
Apr 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Dr. Odelsa M Diaz, M.D.
Title
Doctor in Medicine/President
Phone
(787) 870-2938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

Carr. 165 KM 4.0 Bo. Quebrada Cruz
Toa Alta, PR 00953

Mailing address

RR 6 Box 7446
Toa Alta, PR 00953
Phone (787) 870-2938

National Provider Directory

National Provider Directory

Locations

7446 RR 6
Toa Alta, PR 00953

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1093031049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 6 BOX 7446",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-870-2938",
            "fax_number": "787-870-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 165 KM 4.0 BO. QUEBRADA CRUZ",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-870-2938",
            "fax_number": "787-870-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAMED MEDICAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ODELSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR IN MEDICINE/PRESIDENT",
        "authorized_official_telephone_number": "787-870-2938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.