Individual provider Active NPI

Adria Teresa Diaz Gierbolini, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1407969108
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15090 Issued in PR
Practice address
Urb. la Riviera Calle 3 SE #1051 Cond Medical Center
Plaza Apt. #405
San Juan, PR 00921
Phone
(787) 225-1160
Fax
(787) 272-3120
NPI assigned
Aug 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 15090 PR Primary

Addresses

Primary practice location

Urb. la Riviera Calle 3 SE #1051 Cond Medical Center
Plaza Apt. #405
San Juan, PR 00921

Mailing address

Urb. la Riviera Calle 3 SE #1051 Cond Medical Center
Plaza Apt. #405
San Juan, PR 00921
Phone (787) 225-1160

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
I20040921000678 PR Practitioner - General Practice 6709854433 Practice locations: Fajardo, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Erh Medical Services LLC Past Accepting new patients
GRH Anesthesia Group, PSC PastSince Mar 1, 2016 Accepting new patients

Organizations & group practices 2

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407969108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LA RIVIERA CALLE 3 SE #1051 COND MEDICAL CENTER",
            "address_2": "PLAZA APT. #405",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-225-1160",
            "fax_number": "787-272-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. LA RIVIERA CALLE 3 SE #1051 COND MEDICAL CENTER",
            "address_2": "PLAZA APT. #405",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-225-1160",
            "fax_number": "787-272-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ GIERBOLINI",
        "first_name": "ADRIA",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.