Active NPI
Rafael Diaz Rivera, MD
- General Practice Physician
- Rio Piedras, PR
National Provider Identifier
1124091418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- LIC14134
- 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
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | LIC14134 | PR | Primary |
Addresses
Primary practice location
Condo Medicina Center Altos Correo Rio Piedras
Oficina 704 Calle Arzuaga #112
Rio Piedras, PR 00928
Mailing address
Calle Gran Canyon U2-4
Park Gardens
San Juan, PR 00926
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LIC14134 | PR | MD | General Practice Physician |
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Piedras, PR
- Departamento de Salud Oficial
- Departamento de Salud Oficial (Hospital Pediatrico Universitario)
- Departamento de Salud Oficial
- Departamento de Salud Oficial (University Pediatric Hospital)
- 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
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.