Individual provider Active NPI

Pedro E Diaz Ortiz

  • Neuroradiology Physician
  • Bayamon, PR
National Provider Identifier
1124124466
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
16412 Issued in PR
Practice address
1710 Carr 2 Ste 101
Bayamon, PR 00961-6366
Phone
(787) 785-8034
Fax
(787) 787-8029
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 16412 PR
Neuroradiology Physician 2085N0700X 16412 PR Primary

Addresses

Primary practice location

1710 Carr 2 Ste 101
Bayamon, PR 00961-6366

Mailing address

35 Juan Carlos Borbon PMB 109
Suite 67
Guaynabo, PR 00969
Phone (787) 785-8034

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080825000224 PR Practitioner - Diagnostic Radiology 9436224581 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro Radiodiagnostico de Carolina LLCGroup PAC ID 4587027792, 6 clinicians
Galeria Radiologica Digital LLCGroup PAC ID 7416171186, 4 clinicians
Demadi PSCGroup PAC ID 9436348570, 7 clinicians
DJM Imaging Center LLCGroup PAC ID 7012197403, 6 clinicians

Practice addresses (Care Compare)

10000 Ave 65 Infranteria
Carolina Shopping Court Oficina 023a
Carolina, PR 00985
Phone (787) 257-0677

64 Calle Santa Cruz
Suite 104
Bayamon, PR 00961-7001
Phone (787) 269-2250

Arterial Hostos Esq 249 Ave Chardon
Primer Nivel Edif Hector N Acevedo
San Juan, PR 00918
Phone (787) 701-1180

Carretera 2 Int 167 Cond Gallardo Tow
Bayamon, PR 00961-6366
Phone (787) 785-8034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16412PRMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
De Jesus & Matos Medical Imaging Professionals, PSC Neuroradiology CurrentSince May 2, 2011 Accepting new patients
Laboratorio Clinico Y de Ref de Fajardo Inc CurrentSince Jan 18, 2016 Accepting new patients
Centro Radiodiagnostico de Carolina LLC Diagnostic Radiology CurrentSince Aug 29, 2023 Accepting new patients
Demadi PSC Neuroradiology CurrentSince Apr 20, 2015 Accepting new patients
Arraiza Radiology PSC Diagnostic Radiology CurrentSince Sep 3, 2009 Accepting new patients
Neomed Center, Inc Current Accepting new patients
Galeria Radiologica Digital LLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Cusa Radiology Group LLC Neuroradiology CurrentSince Jan 26, 2025 Accepting new patients
Sono X Ray Radiology Group Diagnostic Radiology CurrentSince May 19, 2025 Accepting new patients
Radiologia del Turabo, C.S.P. Diagnostic Radiology CurrentSince May 19, 2025 Accepting new patients
Neomed Center, Inc. CurrentSince Mar 27, 2025 Accepting new patients
DJM Imaging Center LLC Diagnostic Radiology CurrentSince May 2, 2011 Accepting new patients
Neomed Center, Inc Diagnostic Radiology CurrentSince Mar 27, 2025 Accepting new patients
Caribe Physicians Plaza Corporation CurrentSince Jan 18, 2016 Accepting new patients
MD Radiology Services PSC Past Accepting new patients
Tesla Imagenes, CSP Diagnostic Radiology Past Accepting new patients
Tesla Radiology LLC Diagnostic Radiology Past Accepting new patients
VA Radiology Services, P.S.C. Neuroradiology Past Accepting new patients
MD Radiological Services, PSC Past Accepting new patients

Locations

1710 Carr 2
Ste 101
Bayamon, PR 00961

64 Calle Santa Cruz
Ste 104
Bayamon, PR 00961
Phone (787) 269-2250

151 Ave Osvaldo Molina
Fajardo, PR 00738
Phone (787) 414-4434

509 Ave Tito Castro
Ponce, PR 00716
Phone (787) 840-5090

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1124124466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JUAN CARLOS BORBON PMB 109",
            "address_2": "SUITE 67",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-785-8034",
            "fax_number": "787-787-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 CARR 2 STE 101",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616366",
            "telephone_number": "787-785-8034",
            "fax_number": "787-787-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ ORTIZ",
        "first_name": "PEDRO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "16412",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PR",
            "license": "16412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.