Wilmer Rodriguez Diaz, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17426 Issued in PR

Practice address

HC 5 Box 11285
Corozal, PR 00783-9593

Phone

(787) 674-4850

NPI assigned

Dec 16, 2008

Last updated

Dec 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sendero de Luz Hospice Hospice, Comerio, PR, CCN 401552
• Hospicio Divino Salvador, Inc Hospice, Vega Baja, PR, CCN 401562
• Healthkeepers Hospice Hospice, Bayamon, PR, CCN 401555

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Healthkeepers Hospice Inc.

  • Community Based Hospice Care Agency
  • Bayamon, PR
  • NPI 1528033420

  Contracted Managing Employee

  CMS ownership
• Hospicio Divino Salvador, Inc.

  • Community Based Hospice Care Agency
  • Vega Baja, PR
  • NPI 1699734707

  Contracted Managing Employee

  CMS ownership

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Healthkeepers Hospice Inc.

  • Community Based Hospice Care Agency
  • Bayamon, PR
  • NPI 1528033420
  Care Compare affiliation
• Hospicio Divino Salvador, Inc.

  • Community Based Hospice Care Agency
  • Vega Baja, PR
  • NPI 1699734707
  Care Compare affiliation
• Hospicio Sendero de Luz, Inc

  • Community Based Hospice Care Agency
  • Comerio, PR
  • NPI 1447339130
  Care Compare affiliation

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1154567493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 11285",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007839593",
            "telephone_number": "787-674-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 11285",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007839593",
            "telephone_number": "787-674-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ DIAZ",
        "first_name": "WILMER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Damaris Rivera I
• Maritza Rivera
• Nery L Rivera
• Nicole M. Rivera, PHARMD
• Hector Rodriguez Diaz, MD
• Wilmary Rodriguez Rivera
• Johany Rodriguez Vazquez, PHARMD
• Wilka Marier Rodriguez-Maldona
• Ana Victoria Rodriguez-Vazquez, CSW
• Betty Rodriguez, M.D.

• General Practice Physician in Corozal, PR
• Providers in Corozal, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.