Individual provider Active NPI

Miguel Angel Ortiz-Diaz, M.D.

  • General Practice Physician
  • Toa Baja, PR
National Provider Identifier
1295757417
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15703 Issued in PR
Practice address
Cond. Lago Playa 3000
Apt. 1732
Toa Baja, PR 00949-3051
Phone
(787) 813-9524
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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 15703 PR Primary

Addresses

Primary practice location

Cond. Lago Playa 3000
Apt. 1732
Toa Baja, PR 00949-3051

Mailing address

Cond. Lago Playa 3000
Apt. 1732
Toa Baja, PR 00949-3051
Phone (787) 813-9524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15703PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tanuis Health Services Corp PastSince May 3, 2012 Accepting new patients
Home Medic Coordination General Practice Past Accepting new patients
First Hospital Panamericano Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1295757417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND. LAGO PLAYA 3000",
            "address_2": "APT. 1732",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493051",
            "telephone_number": "787-813-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND. LAGO PLAYA 3000",
            "address_2": "APT. 1732",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493051",
            "telephone_number": "787-813-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-DIAZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.