Jaime Ivan Diaz, M.D.
Individual provider Active NPI Anesthesiology Physician · San Juan, PR
NPI 1396868097 · NPPES record last updated Feb 22, 2017
Key facts
- NPI
- 1396868097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 14782 (PR)
- Practice address
- 138 Avenida Winston Churcill
PMB 854 Urb Crown Hills
San Juan, PR 00926-0613 - Phone
- (787) 758-8383
- Fax
- (787) 759-0101
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Puerto Rico School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mennonite General Hospital Inc
Hospital Menonita de Cayey
Practice addresses (Care Compare)
Calle Jose C Vazquez
Barrio Caonillas
Aibonito, PR 00705-1379
Phone (787) 434-1700
Carretera 14 Interior
Bo Rincon
Cayey, PR 00737-2800
Phone (787) 434-1700
PO Box
Suite 372800
Cayey, PR 00737-2800
Hospital & facility affiliations
- Hospital Menonita de Cayey
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040628001506 | PR | Practitioner - Anesthesiology | 9638155757 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mennonite General Hospital Inc. | Current |
Accepting new patients | |
| Mennonite General Hospital Inc | Current |
Accepting new patients | |
| Av Anesthesiology Group PSC | Anesthesiology | Current |
Accepting new patients |
| Hospital Menonita de Cayey | Current | Accepting new patients | |
| Hospital Menonita de Cayey | Anesthesiology | Current |
Accepting new patients |
| Mennonite General Hospital Inc | Current |
Accepting new patients |
Locations
550 Calle Cuevas Bustamante
San Juan, PR 00918
Phone (787) 209-7233
138 Ave Winston Churchill
#854
San Juan, PR 00926
138 Ave Winston Churchill
San Juan, PR 00926
Phone (787) 305-8383
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 14782 | PR | Yes |
Addresses
Primary practice location
138 Avenida Winston Churcill
PMB 854 Urb Crown Hills
San Juan, PR 00926-0613
Mailing address
HC-01
Box 6527
Aibonito, PR 00705
Phone (787) 735-3567
Other providers in San Juan, PR
- Gisela Diaz
- Gloria Esther Castillo Diaz
- Hector Luis Diaz
- Hilda Sulema Diaz
- Hiram Jose Diaz
- Janezaliz C Diaz
- Janice Annette Diaz
- Janice Elmis Diaz
- Joan Diaz
- Jomar Diaz
All providers in San Juan, PR · Anesthesiology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.