Active NPI
Eduardo Manuel Diaz Figueroa, M.D.
- General Practice Physician
- Ponce, PR
National Provider Identifier
1275868887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 17708
- Practice address
- 2931 Ave Emilio Fagot Ste a
Ponce, PR 00716-3613 - Phone
- (787) 651-6673
- Fax
- (787) 651-6519
- NPI assigned
- Oct 15, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 17708 | PR | Primary |
Addresses
Primary practice location
2931 Ave Emilio Fagot Ste a
Ponce, PR 00716-3613
Mailing address
PO Box 78
Mercedita, PR 00715
Phone (787) 651-6673
Other practice location 1
2905 Ave Emilio Fagot
Ponce, PR 00716-3613
Phone (787) 651-6673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DQ202A | Medicaid | PR |
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 |
|---|---|---|---|---|
| I20101018000607 | PR | Practitioner - General Practice | 7416140983 | Practice locations: Ponce, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2931 Ave Emilio Fagot
Ste. a
Ponce, PR 00716-3613
Phone (787) 651-6673
Hospital & facility affiliations
- Hospicio la Paz Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17708 | PR | MD | General Practice Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Arecibo, PR
- NPI 1609868645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1275868887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78",
"city": "MERCEDITA",
"state": "PR",
"postal_code": "00715",
"telephone_number": "787-651-6673",
"fax_number": "787-651-6519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2931 AVE EMILIO FAGOT STE A",
"city": "PONCE",
"state": "PR",
"postal_code": "007163613",
"telephone_number": "787-651-6673",
"fax_number": "787-651-6519"
}
],
"practiceLocations": [
{
"address_1": "2905 Ave Emilio Fagot",
"address_purpose": "LOCATION",
"city": "Ponce",
"state": "PR",
"postal_code": "007163613",
"country_code": "US",
"telephone_number": "787-651-6673",
"fax_number": "787-651-6519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ FIGUEROA",
"first_name": "EDUARDO",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-15",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "17708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DQ202A",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.