Juan Diego Osorio, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

17310 Issued in PR

Practice address

73 Calle Ponce
San Juan, PR 00917-5007

Phone

(832) 526-6176

NPI assigned

Oct 16, 2008

Last updated

Sep 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1457503930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360456",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360456",
            "telephone_number": "832-526-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CALLE PONCE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175007",
            "telephone_number": "832-526-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIO",
        "first_name": "JUAN",
        "middle_name": "DIEGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "17310",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "17310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolinette Osorio de Los Santos
• Karelys Osorio Mulero, PSY.D.
• Adriana Sofia Osorio
• Carmen G Osorio, CLINICAL NURSE SPECI
• Javier Alonso Osorio, ATC
• Karen Ivette Ossa, M.D.
• Kyara M Ostolaza Oquendo
• Frances Enid Ostolaza Santiago, PHD
• Jorge A. Ostolaza-Bey, M.D.
• Kamira N Ostolaza

• Pediatrics Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.