Active NPI
Krystal Del Mar Ortiz-Diaz, MD
- Surgery Physician
- Arecibo, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 22317
- Practice address
- Hospital Pavia Arecibo
Carr 129 KM 1.0 Ave San Luis
Arecibo, PR 00613 - Phone
- (787) 650-7272
- NPI assigned
- Aug 31, 2016
- Last updated
- Jul 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 22317 | PR | Primary |
Addresses
Primary practice location
Hospital Pavia Arecibo
Carr 129 KM 1.0 Ave San Luis
Arecibo, PR 00613
Mailing address
T15 Calle 19
Ext. Caguax
Caguas, PR 00725-3341
Other practice location 1
UPR School of Medicine Medical Sciences Campus
Guillermo Arbona Building 8th Floor Medical Center
Rio Piedras, PR 00935
Phone (787) 758-2525
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Puerto Rico School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
55 Calle Palma
Arecibo, PR 00612-4526
Phone (787) 650-1030
Carr 129 KM
0 Av San Luis
Arecibo, PR 00613
Phone (787) 650-7272
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Recinto de Ciencias Medicas | Surgery | Current | Accepting new patients |
| Servicios Medicos Universitarios Inc | Past | Accepting new patients |
Locations
BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440
BO Monacillos Centro Medico De Puerto Rico
San Juan, PR 00935
Phone (781) 763-4149
Organizations & group practices 3
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.
-
dba Recinto de Ciencias Medicas-(Cirugia General-RCM)
- Surgery Physician
- San Juan, PR
- NPI 1992737217
-
dba Cirugia Colorrectal RCM
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
-
dba Hospital UPR Dr Federico Trilla
- General Acute Care Hospital
- Carolina, PR
- NPI 1023107182
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arecibo, PR
- NPI 1104862044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1093261745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "T15 CALLE 19",
"address_2": "EXT. CAGUAX",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007253341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL PAVIA ARECIBO",
"address_2": "CARR 129 KM 1.0 AVE SAN LUIS",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00613",
"telephone_number": "787-650-7272"
}
],
"practiceLocations": [
{
"address_1": "UPR School of Medicine Medical Sciences Campus",
"address_2": "Guillermo Arbona Building 8th Floor Medical Center",
"address_purpose": "LOCATION",
"city": "Rio Piedras",
"state": "PR",
"postal_code": "00935",
"country_code": "US",
"telephone_number": "787-758-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTIZ-DIAZ",
"first_name": "KRYSTAL",
"middle_name": "DEL MAR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PR",
"license": "22317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.