Individual provider Active NPI

Luis Diaz-Maisonet, MD

  • Internal Medicine Physician
  • Hato Rey, PR
National Provider Identifier
1447214192
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5252 Issued in PR
Practice address
Avendia Ponce de Leon 706
Parada 37
Hato Rey, PR 00918
Phone
(787) 763-5555
Fax
(787) 763-3646
NPI assigned
Apr 12, 2006
Last updated
Mar 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5252 PR Primary

Addresses

Primary practice location

Avendia Ponce de Leon 706
Parada 37
Hato Rey, PR 00918

Mailing address

Urbanizacion Bucare
Topacio 2055
Guaynabo, PR 00969-5110
Phone (787) 272-8421

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
I20110131000219 PR Practitioner - Internal Medicine 0143409623 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

706 Ave Ponce de Leon
San Juan, PR 00918-4513
Phone (787) 763-5555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5252PRMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1447214192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION BUCARE",
            "address_2": "TOPACIO 2055",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695110",
            "telephone_number": "787-272-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENDIA PONCE DE LEON 706",
            "address_2": "PARADA 37",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-763-5555",
            "fax_number": "787-763-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-MAISONET",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "5252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.