Active NPI
Diego Sanz de la Pena, MD
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1114938271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 7410
- Practice address
- 735 Ponce de Leon Ave
Suite 206 Auxilio Mutuo Tower
San Juan, PR 00917 - Phone
- (787) 751-7370
- Fax
- (787) 751-7470
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 7410 | PR | Primary |
Addresses
Primary practice location
735 Ponce de Leon Ave
Suite 206 Auxilio Mutuo Tower
San Juan, PR 00917
Mailing address
Camino Las Palmas C-16
Los Paseos
San Juan, PR 00926
Phone (787) 751-7370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7410 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114938271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CAMINO LAS PALMAS C-16",
"address_2": "LOS PASEOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-751-7370",
"fax_number": "787-751-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 PONCE DE LEON AVE",
"address_2": "SUITE 206 AUXILIO MUTUO TOWER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917",
"telephone_number": "787-751-7370",
"fax_number": "787-751-7470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANZ DE LA PENA",
"first_name": "DIEGO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "7410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.