Omar E Diaz Sojo, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16148 Issued in PR

Practice address

PQ28 Ave El Comandante
Carolina, PR 00982-2777

Phone

(787) 769-6548

Fax

(787) 769-6565

NPI assigned

Dec 21, 2005

Last updated

Dec 28, 2010By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro de Especialistas Cuidad del Yunque

  • Primary Care Clinic/Center
  • Rio Grande, PR
  • NPI 1063639755
  NPD (past)
• El Medico Visitante...,P.S.C.

  • Health Maintenance Organization
  • San Juan, PR
  • NPI 1992855746
  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1104802065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 CALLE CITADEL",
            "address_2": "REPARTO UNIVERSITARIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009261824",
            "telephone_number": "787-613-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PQ28 AVE EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822777",
            "telephone_number": "787-769-6548",
            "fax_number": "787-769-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ SOJO",
        "first_name": "OMAR",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Beatriz Diaz Hernandez, PSYD
• Angel Diaz Marti
• Gabriela M. Diaz Rivera
• Alejandra Diaz Rohena
• Tania Ivette Diaz Rosado, MD
• Elba Cecilia Diaz Toro, D.M.D.
• Ada Y Diaz-Colon
• Debbie Ann Diaz-Ortiz, CPM
• Diana Diaz-Ramirez, MD
• Adelyn Diaz

• General Practice Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.