Individual provider Active NPI

Darlin Celeste Diaz-Gomez, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1144702390
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21085 Issued in PR
Practice address
891 Calle 49 SE
San Juan, PR 00921-2319
Phone
(787) 232-0007
Fax
(850) 353-7180
NPI assigned
Sep 4, 2018
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21085 PR Primary

Addresses

Primary practice location

891 Calle 49 SE
San Juan, PR 00921-2319

Mailing address

2-2 Parkville CT
Guaynabo, PR 00969-4751
Phone (787) 342-7504

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
I20200423000989 PR Practitioner - General Practice 3971933409 Practice locations: Guaynabo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21085PRMDGeneral Practice Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1144702390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-2 PARKVILLE CT",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694751",
            "telephone_number": "787-342-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 CALLE 49 SE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212319",
            "telephone_number": "787-232-0007",
            "fax_number": "850-353-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-GOMEZ",
        "first_name": "DARLIN",
        "middle_name": "CELESTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.