Henry Diaz, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Coamo, PR
NPI 1154376952 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1154376952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 12894 (PR)
- Practice address
- Calle Mario Brachi Num 9
Coamo, PR 00769-0000 - Phone
- (787) 803-3636
- Fax
- (787) 825-4968
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 Blvd Piel Canela
Coamo, PR 00769-3502
Phone (787) 803-3636
Hospital & facility affiliations
- Hospital Episcopal San Lucas II
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110621000051 | PR | Practitioner - Cardiovascular Disease (Cardiology) |
5597943639 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Centro, Inc. | Current | Accepting new patients | |
| Med Centro, Inc. | Current |
Accepting new patients | |
| Med Centro, Inc. | Current |
Accepting new patients | |
| Intermed, LLC | Past |
Accepting new patients |
Locations
1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 12894 | PR | Yes |
Addresses
Primary practice location
Calle Mario Brachi Num 9
Coamo, PR 00769-0000
Mailing address
PO Box 2156
Coamo, PR 00769-2156
Phone (787) 841-0525
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M000396 | Other | PR | PLAN MENONITA |
| P00103108 | Other | PR | PALMETTO |
| 7690016 | Other | PR | HUMANA INSURANCE |
| 7690016 | Other | PR | HUMANA REFORMA |
| 061763 | Other | PR | CRUZ AZUL DE PUERTO RICO |
| 4512894 | Other | PR | UIA |
| 600865 | Other | PR | MEDICARE Y MUCHO MAS |
| 7690016 | Other | PR | HUMANA HEALTH PLAN |
| 20481 | Other | PR | TRIPLE S |
| 212645 | Other | PR | PREFERRED HEALTH |
| 7789 | Other | PR | FIRST MEDICAL |
| 38385 | Other | PR | PROSSAM |
| PE4134 | Other | PR | PALIC PROVIDER |
Other providers in Coamo, PR
- Emma P De Jesus
- Doel Delgado-Lopez
- Xavier Delgado-Lopez
- Delta Emergency Medical Corp
- Arleen Diaz
- Dr Jose a Torres Viruet CSP
- Dra. Judibelle Rivera de Jesus MD, PSC
- Echevarria Medical Services
- Javier Enrique Echevarria
- Endo Afc LLC
All providers in Coamo, PR · Cardiovascular Disease Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.