Active NPI
Pedro E Diaz Ortiz
- Neuroradiology Physician
- Bayamon, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 16412
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCGaleria Radiologica Digital LLCDemadi PSCDJM Imaging Center LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16412 | PR | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| De Jesus & Matos Medical Imaging Professionals, PSC | Neuroradiology | Current | Accepting new patients |
| Laboratorio Clinico Y de Ref de Fajardo Inc | Current | Accepting new patients | |
| Centro Radiodiagnostico de Carolina LLC | Diagnostic Radiology | Current | Accepting new patients |
| Demadi PSC | Neuroradiology | Current | Accepting new patients |
| Arraiza Radiology PSC | Diagnostic Radiology | Current | Accepting new patients |
| Neomed Center, Inc | Current | Accepting new patients | |
| Galeria Radiologica Digital LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cusa Radiology Group LLC | Neuroradiology | Current | Accepting new patients |
| Sono X Ray Radiology Group | Diagnostic Radiology | Current | Accepting new patients |
| Radiologia del Turabo, C.S.P. | Diagnostic Radiology | Current | Accepting new patients |
| Neomed Center, Inc. | Current | Accepting new patients | |
| DJM Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Neomed Center, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Caribe Physicians Plaza Corporation | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.