Individual provider Active NPI

Nicole Marie Diaz-Ramos, MD

  • Allergy & Immunology Physician
  • Arecibo, PR
National Provider Identifier
1194173252
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
21241 Issued in PR
Practice address
Metropolitan Hospital Dr. Susoni
#55 Calle Palma
Arecibo, PR 00612
Phone
(787) 539-3554
NPI assigned
May 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21241 PR
Student in an Organized Health Care Education/Training Program 390200000X
Allergy & Immunology Physician 207K00000X 21241 PR Primary

Addresses

Primary practice location

Metropolitan Hospital Dr. Susoni
#55 Calle Palma
Arecibo, PR 00612

Mailing address

Barrio Monacillos Carr. 22, Centro Medico
Hospital Pediatrico Universitario Dr. Antonio Ortiz
Rio Piedras, PR 00935
Phone (787) 753-6390

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
I20230823004735 PR Practitioner - Allergy/Immunology 8123481140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Puerto Rico School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

153 Ave Jose de Diego
Arecibo, PR 00612-4779
Phone (787) 539-3554

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21241PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Group PSC Allergy & Immunology CurrentSince Jun 22, 2023 Accepting new patients

Locations

55 Calle Palma
Arecibo, PR 00612
Phone (787) 605-0374

153 Ave Jose de Diego
Ofc
Arecibo, PR 00612
Phone (267) 624-3578

153 Ave Jose de Diego
Arecibo, PR 00612
Phone (787) 309-2546

Interoperability endpoints

  • Direct secure messaging: sjcnmdiaz@yourcarecommunity.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1194173252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BARRIO MONACILLOS CARR. 22, CENTRO MEDICO",
            "address_2": "HOSPITAL PEDIATRICO UNIVERSITARIO DR. ANTONIO ORTIZ",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-753-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METROPOLITAN HOSPITAL DR. SUSONI",
            "address_2": "#55 CALLE PALMA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-539-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-RAMOS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "21241",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PR",
            "license": "21241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.