Organization Active NPI

Juan R Diaz Troche Cirujanos CSP

  • Surgery Physician
  • Mayaguez, PR
National Provider Identifier
1437120979
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4677 Issued in PR
Legal business name
JUAN R DIAZ TROCHE CIRUJANOS CSP
Practice address
13 Calle Pablo Maiz
Bo Barcelona
Mayaguez, PR 00680-4838
Phone
(787) 834-2520
Fax
(787) 833-6730
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Dr. Juan R Diaz Troche, MDNPI 1215095153
Title
Presidente Administindo
Phone
(787) 834-2520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 4677 PR Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 4610 PR
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 11067 PR

Addresses

Primary practice location

13 Calle Pablo Maiz
Bo Barcelona
Mayaguez, PR 00680-4838

Mailing address

PO Box 1150
Mayaguez, PR 00681-1150
Phone (787) 834-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120305000284 PR Part B Supplier - Clinic/Group Practice 9830358258 Receives reassigned benefits from 1 practitioner
Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory

Locations

13 Calle Pablo Maiz
Mayaguez, PR 00680
Phone (787) 832-5625

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1437120979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811150",
            "telephone_number": "787-834-2520",
            "fax_number": "787-833-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CALLE PABLO MAIZ",
            "address_2": "BO BARCELONA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804838",
            "telephone_number": "787-834-2520",
            "fax_number": "787-833-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN R DIAZ TROCHE CIRUJANOS CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "DIAZ TROCHE",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENTE ADMINISTINDO",
        "authorized_official_telephone_number": "787-834-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PR",
            "license": "4677",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PR",
            "license": "4610",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PR",
            "license": "11067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.