Orlando Jasiel Diaz Miranda, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3465 Issued in PR

Practice address

106 Calle Colon
Aguada, PR 00602-3002

Phone

(787) 252-5500

Fax

(787) 252-5509

NPI assigned

May 19, 2021

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Costa Salud Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rincon, PR
  • NPI 1912997768
  Medicare reassignment NPD
• Costa Salud Community Health Centers, Inc

  • Clinical Medical Laboratory
  • Moca, PR
  • NPI 1396517082
  NPD

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1265006555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "006770638",
            "telephone_number": "718-823-5500",
            "fax_number": "787-823-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CALLE COLON",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023002",
            "telephone_number": "787-252-5500",
            "fax_number": "787-252-5509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Calle Munoz Rivera W",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "PR",
            "postal_code": "006772127",
            "country_code": "US",
            "telephone_number": "787-823-5500 x120",
            "fax_number": "787-823-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ MIRANDA",
        "first_name": "ORLANDO",
        "middle_name": "JASIEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deltal Optical Network
• Marco A. Delvalle, DDS
• Filiberto Desa Cintron, DDS
• Marian Desarden Vializ, MSW
• Diamond Mt Corp.
• Jamil Tareck Diaz Ruiz, M.D.
• Heberto R Diaz-Otero, M.D.
• Manuel E Diaz, M.D.
• Myrna L. Diaz, MD
• DM Health Group LLC

• Dentist in Aguada, PR
• Providers in Aguada, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.

Verify at the official NPI Registry.