Individual provider Active NPI

Carlos Ruben Diaz, MD

  • Cardiovascular Disease Physician
  • Santurce, PR
National Provider Identifier
1093701062
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
009970 Issued in PR
Practice address
1449 Calle Americo Salas
Edificio Pavia II, Suite 102
Santurce, PR 00909-2100
Phone
(787) 721-0525
Fax
(787) 722-1225
NPI assigned
Sep 23, 2005
Last updated
Oct 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 009970 PR Primary

Addresses

Primary practice location

1449 Calle Americo Salas
Edificio Pavia II, Suite 102
Santurce, PR 00909-2100

Mailing address

1449 Calle Americo Salas
Edificio Pavia II, Suite 102
Santurce, PR 00909-2100
Phone (787) 721-0525

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000144 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3274600879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1449 Calle Americo Salas
San Juan, PR 00909-2100
Phone (787) 721-0525

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos R Diaz Velez MD CSP Cardiovascular Disease CurrentSince Jun 30, 2008 Accepting new patients
Cardiac and Vascular Imaging and Medical Group PSC Past Accepting new patients

Locations

1449 Calle Americo Salas
Ste 102
Santurce, PR 00909
Phone (787) 721-0525

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1093701062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 CALLE AMERICO SALAS",
            "address_2": "EDIFICIO PAVIA II, SUITE 102",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092100",
            "telephone_number": "787-721-0525",
            "fax_number": "787-722-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 CALLE AMERICO SALAS",
            "address_2": "EDIFICIO PAVIA II, SUITE 102",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092100",
            "telephone_number": "787-721-0525",
            "fax_number": "787-722-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CARLOS",
        "middle_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "009970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.