Active NPI
Franklin Diaz, MD
- General Practice Physician
- Fajardo, PR
National Provider Identifier
1225720352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23906
- Practice address
- 404 Ave General Valero
Fajardo, PR 00738-3998 - Phone
- (787) 655-0505
- NPI assigned
- May 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23906 | PR | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | PR |
Addresses
Primary practice location
404 Ave General Valero
Fajardo, PR 00738-3998
Mailing address
7 Calle 3
Villa Los Olmos
San Juan, PR 00927-4627
Phone (787) 777-3535
Other practice location 1
Ave Ponde de Leon 715
San Juan, PR 00917
Phone (787) 758-2000
Other practice location 2
151 Ave Osvaldo Molina
Fajardo, PR 00738-4013
Phone (787) 801-0081
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240816003925 | PR | Practitioner - General Practice | 5991243255 | Practice locations: Fajardo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1225720352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CALLE 3",
"address_2": "VILLA LOS OLMOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274627",
"telephone_number": "787-777-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 AVE GENERAL VALERO",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007383998",
"telephone_number": "787-655-0505"
}
],
"practiceLocations": [
{
"address_1": "AVE PONDE DE LEON 715",
"address_purpose": "LOCATION",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917",
"country_code": "US",
"telephone_number": "787-758-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "151 Ave Osvaldo Molina",
"address_purpose": "LOCATION",
"city": "Fajardo",
"state": "PR",
"postal_code": "007384013",
"country_code": "US",
"telephone_number": "787-801-0081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "FRANKLIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-25",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23906",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fajardo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.