Carlos Ruben Diaz, MD

Individual provider Active NPI Cardiovascular Disease Physician · Santurce, PR

NPI 1093701062 · NPPES record last updated Oct 1, 2014

Key facts

NPI
1093701062
Entity type
Individual (NPI type 1)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
License
009970 (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
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

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

  • Hospital Pavia Santurce Hospital · San Juan, PR · CCN 400019

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos R Diaz Velez MD CSP Cardiovascular Disease Current
since 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

Specialties & licenses

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

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

Other providers in Santurce, PR

All providers in Santurce, PR · Cardiovascular Disease Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.