Individual provider Active NPI

Osvaldo Dario Bazil-Mieses, MD

  • Internal Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1174523732
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8215 Issued in PR
Practice address
Urb. Vista Verde #6 Calle Coral
Mayaguez, PR 00682-2508
Phone
(915) 329-7814
Fax
(939) 935-9006
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K3985 TX
Internal Medicine Physician 207R00000X 8215 PR Primary

Addresses

Primary practice location

Urb. Vista Verde #6 Calle Coral
Mayaguez, PR 00682-2508

Mailing address

Urb Vista Verde #6 Calle Coral
Mayaguez, PR 00682-2508
Phone (915) 329-7814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040505000363 TX Practitioner - Family PracticePractitioner - Internal Medicine 0840288155 Reassigns benefits to 1 organization
I20230105003222 PR Practitioner - Internal Medicine 0840288155 Reassigns benefits to 2 organizations
Practice locations: Mayaguez, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3985TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thyroid & Testosterone Wellness Center CurrentSince Oct 30, 2022 Accepting new patients
Osvaldo D Bazil MD PA PC Internal Medicine CurrentSince Nov 2, 2022 Accepting new patients
Paincare Latino PLLC PastSince Aug 16, 2020 Accepting new patients
Pablo Casares MD PA Internal Medicine PastSince Jan 5, 2026 Accepting new patients
Diagnostic Pro Imaging Past Accepting new patients
Eduardo M. de Jesus, M.D., P.a. Internal Medicine Past Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients

Locations

740 Ave Hostos
Ste 314
Mayaguez, PR 00682
Phone (915) 329-7814

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFDFDD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1174523732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VISTA VERDE #6 CALLE CORAL",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006822508",
            "telephone_number": "915-329-7814",
            "fax_number": "939-935-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VISTA VERDE #6 CALLE CORAL",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006822508",
            "telephone_number": "915-329-7814",
            "fax_number": "939-935-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZIL-MIESES",
        "first_name": "OSVALDO",
        "middle_name": "DARIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-05-09",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3985",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.