Active NPI
Omar Guerrero Diaz, MD
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1356094569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 023130
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023130 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New 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 | 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 | 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 | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc | Current | Accepting new patients | |
| Occupational Medical Services Inc | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Corozal, PR
- NPI 1184647851
General Practice
-
- Federally Qualified Health Center (FQHC)
- Comerio, PR
- NPI 1275556946
-
- Federally Qualified Health Center (FQHC)
- Orocovis, PR
- NPI 1487677159
General Practice
-
- Federally Qualified Health Center (FQHC)
- Naranjito, PR
- NPI 1578586244
-
- Federally Qualified Health Center (FQHC)
- Barranquitas, PR
- NPI 1316970833
-
- Federally Qualified Health Center (FQHC)
- Toa Alta, PR
- NPI 1639372618
General Practice
-
- Mammography Clinic/Center
- Corozal, PR
- NPI 1013498583
-
- Radiology Clinic/Center
- Comerio, PR
- NPI 1619458924
-
- Radiology Clinic/Center
- Orocovis, PR
- NPI 1740732890
-
- Radiology Clinic/Center
- Barranquitas, PR
- NPI 1801347505
-
- Radiology Clinic/Center
- Naranjito, PR
- NPI 1861973182
-
- Radiology Clinic/Center
- Toa Alta, PR
- NPI 1083086565
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.