Individual provider Active NPI

Omar Guerrero Diaz, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1356094569
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
023130 Issued in PR
Practice address
Hospital Hima San Pablo
Calle Santa Cruz #70
Bayamon, PR 00956
Phone
(787) 620-4747
NPI assigned
Jan 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 023130 PR Primary
Attendant Care Provider 3747A0650X

Addresses

Primary practice location

Hospital Hima San Pablo
Calle Santa Cruz #70
Bayamon, PR 00956

Mailing address

PO Box 305
Comerio, PR 00782-0305
Phone (787) 605-0592

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
I20230403001972 PR Practitioner - General Practice 3375875255 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023130PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. General Practice Current Accepting new patients
Salud Integral En la Montana, Inc. Current Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Salud Integral En la Montana, Inc General Practice Current Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Mar 21, 2023 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Mar 21, 2023 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Mar 21, 2023 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Mar 21, 2023 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Mar 21, 2023 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Salud Integral En la Montana, Inc General Practice Current Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Mar 21, 2023 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Mar 21, 2023 Accepting new patients
Occupational Medical Services Inc PastSince Apr 17, 2019 Accepting new patients

Locations

53 Calle Barcelo
#156
Barranquitas, PR 00794
Phone (787) 857-2688

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1356094569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "007820305",
            "telephone_number": "787-605-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL HIMA SAN PABLO",
            "address_2": "CALLE SANTA CRUZ #70",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-620-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO DIAZ",
        "first_name": "OMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-28",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023130",
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.