Individual provider Active NPI

Flor Maria Diaz Fontan, M.D.

  • Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1376794529
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9615 Issued in PR
Practice address
Ashford Ave., Cond. Ashford 1000
Apt. 4
San Juan, PR 00907-1148
Phone
(787) 627-9606
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 9615 PR Primary

Addresses

Primary practice location

Ashford Ave., Cond. Ashford 1000
Apt. 4
San Juan, PR 00907-1148

Mailing address

Ashford Ave., Ashford 1000
Apt. 4
San Juan, PR 00907-1148
Phone (787) 627-9606

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
I20170315001900 PR Practitioner - Psychiatry 4183641798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Behavioral Care CorpGroup PAC ID 5294863262, 20 clinicians

Practice addresses (Care Compare)

Carr 3 KM
9 Urb Industrial Las Flores
Rio Grande, PR 00745
Phone (787) 704-0705

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9615PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. CurrentSince May 24, 2019 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Mar 19, 2020 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients
Inspira Behavioral Care Corp CurrentSince May 24, 2019 Accepting new patients
Mennonite General Hospital, Inc CurrentSince Mar 19, 2020 Accepting new patients
Inspira Behavioral Care Corp. Past Accepting new patients
Centro de Salud Conductual Menonita Cima Past Accepting new patients
Inspira Behavioral Care Corp. Past Accepting new patients
Aps Clinics of Puerto Rico, Inc. Psychiatry Past Accepting new patients
Mennonite General Hospital Inc. Past Accepting new patients
Inspira Behavioral Care Corp. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: flor.diazfontan.p1@direct.vitacare.nextgenshare.com

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": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1376794529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ASHFORD AVE., ASHFORD 1000",
            "address_2": "APT. 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071148",
            "telephone_number": "787-627-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASHFORD AVE., COND. ASHFORD 1000",
            "address_2": "APT. 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071148",
            "telephone_number": "787-627-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ FONTAN",
        "first_name": "FLOR",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "9615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.