Juan R Diaz Troche Sr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4677 Issued in PR

Practice address

Calle Pablo Maiz 13
Bo Barcelona
Mayaguez, PR 00681-1150

Phone

(781) 834-2520

Fax

(787) 833-6730

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

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 Surgery

Education

University of Puerto Rico School of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Mayaguez IncGroup PAC ID 7315038346, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Perea Hospital, Mayaguez, PR, CCN 400123

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Juan R Diaz Troche Cirujanos CSP

  • Surgery Physician
  • Mayaguez, PR
  • NPI 1437120979
  Medicare reassignment NPD Authorized official
• Metro Mayaguez Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1821082918
  Medicare reassignment Care Compare group NPD

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

• Metro Mayaguez Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1821082918
  Care Compare affiliation

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215095153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811150",
            "telephone_number": "787-834-2520",
            "fax_number": "787-833-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PABLO MAIZ 13",
            "address_2": "BO BARCELONA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811150",
            "telephone_number": "781-834-2520",
            "fax_number": "787-833-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ TROCHE",
        "first_name": "JUAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "4677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "06530",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "3134",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CARD SYSTEM",
            "identifier": "346771",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMPR",
            "identifier": "20895",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "5165",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAN AMERICAN LIFE",
            "identifier": "PE2111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "146530",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dialysis Access Center LLC
• Diana Lopez
• Diana Lopez Soba
• Carlos David Diaz Perez, MD
• Dannel Diaz Ruiz, MD
• Erianis Tahir Diaz
• Jose Sigfredo Diaz, MD
• Maria Antonia Diaz, M.D.
• Liliana M Diez, D.M.D.
• Doctors of Puerto Rico LLC

• Surgery Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.