Carmen Luz Diaz Hernandez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

621 Issued in PR

Practice address

5001 Ave Jesus T Pinero Ste 130
Cayey, PR 00736-5541

Phone

(787) 263-1335

Fax

(787) 263-1335

NPI assigned

Jun 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cayey Visual Center, Corp

  • Point of Service
  • Cayey, PR
  • NPI 1003969353
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1366448383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CALLE MADRESELVA",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364879",
            "telephone_number": "787-263-1335",
            "fax_number": "787-263-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 AVE JESUS T PINERO STE 130",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007365541",
            "telephone_number": "787-263-1335",
            "fax_number": "787-263-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ HERNANDEZ",
        "first_name": "CARMEN",
        "middle_name": "LUZ",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Health Care
• Dentistry 4 All, PSC
• Dept of Education
• Jaime J Diaz Correa, DMD
• Jessica Diaz Garcia III
• Jan Luis Diaz Mendoza, MS
• Jean Ashley Diaz Rivera
• Angel E. Diaz Serrano, M.D.
• Ricardo Diaz Torres, MD
• Teisha Marie Diaz Velez, OTR/L

• Optometrist in Cayey, PR
• Providers in Cayey, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.

Verify at the official NPI Registry.