Individual provider Active NPI

Luis Rosa Diaz

  • Family Medicine Physician
  • Guaynabo, PR
National Provider Identifier
1346319399
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13318 Issued in PR
Practice address
Suite 208, Carr.21, Las Lomas
Hospital Metropolitano
Guaynabo, PR 00921
Phone
(787) 782-9999
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13318 PR Primary

Addresses

Primary practice location

Suite 208, Carr.21, Las Lomas
Hospital Metropolitano
Guaynabo, PR 00921

Mailing address

PO Box 1254
Fajardo, PR 00738

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
I20031210000186 PR Practitioner - Family Practice 6901702026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

190 Ave Lauro Pinero
Ceiba, PR 00735-2732
Phone (787) 885-8080

Hospital & facility affiliations

  • Caribbean Medical Center Hospital, Fajardo, PR, CCN 400131
  • Centro Medico del Noreste Hospital, Fajardo, PR, CCN 400141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13318PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caribe Physicians Plaza Corporation Past Accepting new patients
Doctor a Tu Lado Past Accepting new patients
Fajardo Integrated Medical Center Past Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1346319399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1254",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 208, CARR.21, LAS LOMAS",
            "address_2": "HOSPITAL METROPOLITANO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-782-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA DIAZ",
        "first_name": "LUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "13318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.