Individual provider Active NPI

Luz Darleny Diaz Gomez, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1285293977
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23085 Issued in PR
Practice address
1462 Calle Prof Augusto Rodriguez
San Juan, PR 00909-2145
Phone
(787) 641-1616
NPI assigned
Jun 7, 2019
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23085 PR Primary

Addresses

Primary practice location

1462 Calle Prof Augusto Rodriguez
San Juan, PR 00909-2145

Mailing address

202 Calle Cristo
San Juan, PR 00901-1662
Phone (231) 598-2454

Other practice location 1

Turabo Garden
Carretera 172 Salida 21
Caguas, PR 00727
Phone (787) 434-1700

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
I20230307003334 PR Practitioner - General Practice 8527430503 Reassigns benefits to 1 organization
Practice locations: Caguas, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physician Providers LLCGroup PAC ID 9436436706, 18 clinicians

Practice addresses (Care Compare)

1462 Calle Prof Augusto Rodriguez
San Juan, PR 00909-2145
Phone (787) 436-0727

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LD Diaz Medical LLC Single Specialty Current Accepting new patients
Emergency Physician Providers, LLC Single Specialty CurrentSince Aug 17, 2025 Accepting new patients
Platinum Emergency Physicians, PSC Single Specialty Past Accepting new patients

Locations

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

1785 Carr 21
San Juan, PR 00921
Phone (787) 356-0588

1462 Calle Prof Augusto Rodriguez
Santurce, PR 00909
Phone (787) 238-2602

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1285293977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CALLE CRISTO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009011662",
            "telephone_number": "231-598-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 CALLE PROF AUGUSTO RODRIGUEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092145",
            "telephone_number": "787-641-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "TURABO GARDEN",
            "address_2": "Carretera 172 Salida 21",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00727",
            "country_code": "US",
            "telephone_number": "787-434-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ GOMEZ",
        "first_name": "LUZ",
        "middle_name": "DARLENY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.