Individual provider Active NPI

Ricardo Omar Diaz Irizarry, M.D

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1376710988
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17131 Issued in PR
Practice address
Urb. Lomas Verdes
2Z3 Jacinto
Bayamon, PR 00956
Phone
(787) 501-5724
NPI assigned
May 13, 2008
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17131 PR Primary

Addresses

Primary practice location

Urb. Lomas Verdes
2Z3 Jacinto
Bayamon, PR 00956

Mailing address

PO Box 277
Bayamon, PR 00960-0277
Phone (787) 501-5724

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
I20080909000041 PR Practitioner - General Practice 4284700634 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17131PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neomed Center, Inc. CurrentSince Jun 23, 2015 Accepting new patients
Neomed Center, Inc Current Accepting new patients
Neomed Center, Inc CurrentSince Jun 23, 2015 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1376710988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600277",
            "telephone_number": "787-501-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. LOMAS VERDES",
            "address_2": "2Z3 JACINTO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-501-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ IRIZARRY",
        "first_name": "RICARDO",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.