Individual provider Active NPI

Julio J Diaz, M.D.

  • Radiation Oncology Physician
  • Rio Piedras, PR
National Provider Identifier
1366459596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
10907 Issued in PR
Practice address
Isaac Gonzalez Martinez Hospital Centro Medico Area
Radioterapia Basement
Rio Piedras, PR 00935
Phone
(787) 754-0315
Fax
(787) 763-8593
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 10907 PR Primary

Addresses

Primary practice location

Isaac Gonzalez Martinez Hospital Centro Medico Area
Radioterapia Basement
Rio Piedras, PR 00935

Mailing address

PMB 10
PO Box 70344
San Juan, PR 00936-8344
Phone (787) 754-0315

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
I20090423000264 PR Practitioner - Radiation Oncology 0143235218 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grupo Radioterapia del NorteGroup PAC ID 9335154400, 2 clinicians
Centro de Cancer de la UniversidadGroup PAC ID 7113220385, 21 clinicians

Practice addresses (Care Compare)

7 Carr
2 KM
Manati, PR 00674-4894
Phone (787) 621-0021

Centro Medico de PR
Paseo Jose Celso Barbosa
San Juan, PR 00927
Phone (787) 772-8300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Jun 1, 2007 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 1, 2007 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Liga Puertorriquena Contra El CancerRio Piedras, PR, CCN 400012 Hospital Corporate Director Jan 19, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366459596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 10",
            "address_2": "PO BOX 70344",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-754-0315",
            "fax_number": "787-763-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ISAAC GONZALEZ MARTINEZ HOSPITAL CENTRO MEDICO AREA",
            "address_2": "RADIOTERAPIA BASEMENT",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-754-0315",
            "fax_number": "787-763-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JULIO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PR",
            "license": "10907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.