Individual provider Active NPI

Ocmarie Diaz Colon, MD

  • General Practice Physician
  • Santa Isabel, PR
National Provider Identifier
1447920764
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22533 Issued in PR
Practice address
Urb Hacienda Isabel
Street 2 #4
Santa Isabel, PR 00757
Phone
(787) 508-9897
NPI assigned
Sep 17, 2021
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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 22533 PR Primary

Addresses

Primary practice location

Urb Hacienda Isabel
Street 2 #4
Santa Isabel, PR 00757

Mailing address

PO Box 2320
Salinas, PR 00751-8320
Phone (787) 508-9897

Other identifiers 1

IdentifierTypeStateIssuer
039206700MedicaidPR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ocmarie.diaz@gmail.com

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
I20220308001959 PR Practitioner - General Practice 2466846415 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22533PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma, Inc. CurrentSince Dec 15, 2021 Accepting new patients
Cossma Inc CurrentSince Dec 15, 2021 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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1447920764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2320",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007518320",
            "telephone_number": "787-508-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB HACIENDA ISABEL",
            "address_2": "STREET 2 #4",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-508-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ COLON",
        "first_name": "OCMARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039206700",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ocmarie.diaz@gmail.com",
            "affiliation": "N",
            "address_1": "Urb Hacienda Isabel",
            "address_2": "Street 2 #4",
            "city": "Santa Isabel",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

Verify at the official NPI Registry.