Rafael Diaz Rivera, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

LIC14134 Issued in PR

Practice address

Condo Medicina Center Altos Correo Rio Piedras
Oficina 704 Calle Arzuaga #112
Rio Piedras, PR 00928

Phone

(787) 645-9783

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124091418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE GRAN CANYON U2-4",
            "address_2": "PARK GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDO MEDICINA CENTER ALTOS CORREO RIO PIEDRAS",
            "address_2": "OFICINA 704 CALLE ARZUAGA #112",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00928",
            "telephone_number": "787-645-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ RIVERA",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "LIC14134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "500249",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "21271",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Departamento de Salud Oficial
• Departamento de Salud Oficial
• Departamento de Salud Oficial
• Departamento de Salud Oficial
• Javier Enrique Deya
• Inellies Diaz Velez
• Jose Luis Diaz-Garcia, M.D.
• Francisco Jose Diaz-Lozada, M.D.
• Karen Jarelys Diaz-Perez, M.D.
• Eduardo J Diaz, MD

• General Practice Physician in Rio Piedras, PR
• Providers in Rio Piedras, 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 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.

Verify at the official NPI Registry.