Jaime J Jackson Diaz, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

16730 Issued in PR

Practice address

Ave Jesus T Pinero #1250
Capapra Terrace
San Juan, PR 00921

Phone

(787) 781-2565

Fax

(787) 782-9524

NPI assigned

Jul 3, 2007

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Puerto Rico School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centro Oftalmologico Metropolitano CSPGroup PAC ID 4587655204, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

61.01 of 100Reported as group

Quality

75.55

Promoting interoperability

0

Improvement activities

40

Cost

77.82

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jjackson@centofmet.direct.eyemdemr.com

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.

• Centro Oftalmologico Metropolitano CSP

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1528022027
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1285832030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10431",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220431",
            "telephone_number": "787-781-2565",
            "fax_number": "787-782-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE JESUS T PINERO #1250",
            "address_2": "CAPAPRA TERRACE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-781-2565",
            "fax_number": "787-782-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON DIAZ",
        "first_name": "JAIME",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "16730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel J Izquierdo, PSY. D
• Victoria Maria Izquierdo
• J.M. Urology, C.S.P.
• J.R.a.Gastroenterology
• Jab Ophthalmics, PSC
• Iris Jackson Moya, PHD
• Jag Medical LLC
• Jalou Inc
• James Ho DMD MPH
• Jamonpsc

• Ophthalmology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.

Verify at the official NPI Registry.