Individual provider Active NPI

Esteban Castro-Diaz, M.D.

  • Gastroenterology Physician
  • Carolina, PR
National Provider Identifier
1407920580
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
8507 Issued in PR
Practice address
DL13 Via Emilia
Urb. Villa Fontana
Carolina, PR 00983-3907
Phone
(787) 768-1355
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 8507 PR Primary

Addresses

Primary practice location

DL13 Via Emilia
Urb. Villa Fontana
Carolina, PR 00983-3907

Mailing address

PO Box 8820
Carolina, PR 00988-8820
Phone (787) 860-6300

Other identifiers 7

IdentifierTypeStateIssuer
080204OtherPRSSS
214022OtherPRPREFERRED
069910OtherPRCRUZ AZUL OF PUERTO RICO
8000408OtherPRHUMANA
03365OtherPRAMERICAN HEALTH
601192OtherPRMMM
36825OtherPRASOCIACION DE MAESTROS

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
I20101117000395 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 4587859400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 Ave General Valero
Fajardo, PR 00738-4844
Phone (787) 860-6300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Upper gastrointestinal (GI) endoscopy for acid reflux17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Castro Gastroenterology Medical Services, LLC Gastroenterology CurrentSince Jun 1, 2014 Accepting new patients

Locations

DL13 Via Emilia
Carolina, PR 00983
Phone (787) 396-3535

303 Ave General Valero
Ste 204
Fajardo, PR 00738
Phone (787) 642-7247

303 Ave General Valero
#204
Fajardo, PR 00738
Phone (787) 860-6300

303 Ave General Valero
Fajardo, PR 00738
Phone (787) 860-6300

Organizations & group practices 1

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1407920580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8820",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009888820",
            "telephone_number": "787-860-6300",
            "fax_number": "787-860-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DL13 VIA EMILIA",
            "address_2": "URB. VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009833907",
            "telephone_number": "787-768-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO-DIAZ",
        "first_name": "ESTEBAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "8507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "080204",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED",
            "identifier": "214022",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL OF PUERTO RICO",
            "identifier": "069910",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "8000408",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "03365",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "601192",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASOCIACION DE MAESTROS",
            "identifier": "36825",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.