Individual provider Active NPI

Carolina Elmire Guerrero Diaz, MD

  • Pediatric Gastroenterology Physician
  • Bayamon, PR
National Provider Identifier
1215599808
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
22789 Issued in PR
Practice address
Carretera #2, KM. 11.7
Bayamon, PR 00959-7200
Phone
(787) 474-8282
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 22789 PR
Pediatric Gastroenterology Physician 2080P0206X 22789 PR Primary

Addresses

Primary practice location

Carretera #2, KM. 11.7
Bayamon, PR 00959-7200

Mailing address

PO Box 1999
Bayamon, PR 00960-1999
Phone (787) 474-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20231003001030 NE Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0648624130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9564NEMDClinical Social Worker
22789PRMDPediatrics Physician
35464-RPRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Women and Children S Hospital LLC Past Accepting new patients

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1215599808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1999",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009601999",
            "telephone_number": "787-474-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA #2, KM. 11.7",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597200",
            "telephone_number": "787-474-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO DIAZ",
        "first_name": "CAROLINA",
        "middle_name": "ELMIRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "22789",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "PR",
            "license": "22789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.