Jaime Ivan Diaz, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

14782 Issued in 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

Last updated

Feb 22, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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 IncGroup PAC ID 6709843964, 47 clinicians

Hospital Menonita de CayeyGroup PAC ID 2466449657, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Menonita de Cayey Hospital, Cayey, PR, CCN 400013

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital Menonita de Cayey

  • General Acute Care Hospital
  • Cayey, PR
  • NPI 1750317764
  Medicare reassignment Care Compare group NPD
• Mennonite General Hospital Inc

  • General Acute Care Hospital
  • Aibonito, PR
  • NPI 1851320394
  Medicare reassignment Care Compare group NPD
• Av Anesthesiology Group PSC

  • Anesthesiology Physician
  • San Juan, PR
  • NPI 1437488863
  Medicare reassignment NPD
• Hospital Menonita de Cayey

  dba Grupo Medico Menonita de Cayey

  • Specialist
  • Cayey, PR
  • NPI 1255461893

  Anesthesiology

  NPD
• Mennonite General Hospital Inc

  dba Grupo Medico Menonita Aibonito

  • Specialist
  • Aibonito, PR
  • NPI 1043347768
  NPD
• Mennonite General Hospital Inc.

  dba Centro de Salud Conductual Menonita CIMA-Ponce

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponce, PR
  • NPI 1144099813
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Menonita de Cayey

  • General Acute Care Hospital
  • Cayey, PR
  • NPI 1750317764
  Care Compare affiliation

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1396868097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC-01",
            "address_2": "BOX 6527",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-735-3567",
            "fax_number": "787-735-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 AVENIDA WINSTON CHURCILL",
            "address_2": "PMB 854 URB CROWN HILLS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260613",
            "telephone_number": "787-758-8383",
            "fax_number": "787-759-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JAIME",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "14782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisela Diaz, PH.D
• Gloria Esther Castillo Diaz
• Hector Luis Diaz
• Hilda Sulema Diaz, M.D.
• Hiram Jose Diaz, MEDICAL STUDENT
• Janezaliz C Diaz, OPTICIAN
• Janice Annette Diaz
• Janice Elmis Diaz
• Joan Diaz, RD
• Jomar Diaz, DMD

• Anesthesiology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Anesthesiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.