Individual provider Active NPI

Manuel Angel Diaz-Vargas, MD

  • Surgery Physician
  • Bayamon, PR
National Provider Identifier
1265506331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
6423 Issued in PR
Practice address
66 Santa Cruz
Suite 407 Instituto San Pablo
Bayamon, PR 00959
Phone
(787) 740-0320
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 6423 PR Primary

Addresses

Primary practice location

66 Santa Cruz
Suite 407 Instituto San Pablo
Bayamon, PR 00959

Mailing address

PO Box 6477
Santa Rosa Unit
Bayamon, PR 00960-5477
Phone (787) 740-0320

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
I20040206000631 PR Practitioner - General SurgeryPractitioner - Surgical Oncology 8527951060 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Instituto San Pablo
407 Calle Santa Cruz 66
Bayamon, PR 00960

Santa Cruz St
66 Suite 407 Instituto San Pablo
Bayamon, PR 00960
Phone (787) 620-9414

Hospital & facility affiliations

  • Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)12
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Oct 25, 2010 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Oct 25, 2010 Accepting new patients
GRP Med CT Radiology Complex Past Accepting new patients

Locations

70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265506331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6477",
            "address_2": "SANTA ROSA UNIT",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605477",
            "telephone_number": "787-740-0320",
            "fax_number": "787-740-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SANTA CRUZ",
            "address_2": "SUITE 407 INSTITUTO SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-740-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-VARGAS",
        "first_name": "MANUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "6423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.