Organization Active NPI

D&D Breast Surgeons, PSC

  • Surgery Physician
  • Ponce, PR
National Provider Identifier
1295089084
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
15945 Issued in PR
Legal business name
D&D BREAST SURGEONS, PSC
Practice address
909 Tito Castro Ave.
Torre Medica San Lucas Suite 502
Ponce, PR 00716-4728
Phone
(787) 651-3888
Fax
(787) 651-7325
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Zuleika Diaz Negron, M.D.NPI 1710189402
Title
President
Phone
(787) 651-3888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 15945 PR Primary

Addresses

Primary practice location

909 Tito Castro Ave.
Torre Medica San Lucas Suite 502
Ponce, PR 00716-4728

Mailing address

909 Tito Castro Ave
Torre Medica San Lucas Suite 502
Ponce, PR 00716-4728
Phone (787) 651-3888

Other identifiers 1

IdentifierTypeStateIssuer
15945OtherPRLIC MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140808000726 PR Part B Supplier - Clinic/Group Practice 7416174834 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

909 Ave Tito Castro
Ste 502
Ponce, PR 00716
Phone (787) 651-3888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1295089084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 TITO CASTRO AVE",
            "address_2": "TORRE MEDICA SAN LUCAS SUITE 502",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164728",
            "telephone_number": "787-651-3888",
            "fax_number": "787-651-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 TITO CASTRO AVE.",
            "address_2": "TORRE MEDICA SAN LUCAS SUITE 502",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164728",
            "telephone_number": "787-651-3888",
            "fax_number": "787-651-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&D BREAST SURGEONS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "DIAZ NEGRON",
        "authorized_official_first_name": "ZULEIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-651-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PR",
            "license": "15945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC MD",
            "identifier": "15945",
            "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 Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.