Bruny Vanessa Diaz Moreno, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14561 Issued in PR

Practice address

407B Fernando Montilla
Suite 2
San Juan, PR 00918

Phone

(787) 314-7450

Fax

(787) 294-9921

NPI assigned

May 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro Health Clinical Services LLCGroup PAC ID 1759692478, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: bruny.diazmoreno@3937.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro-Health Clinical Services LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Bayamon, PR
  • NPI 1881003382
  Medicare reassignment Care Compare group NPD
• Cruz Advance Medicine LLC

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1770983173
  NPD (past)
• Lba Medical Services Inc

  • General Practice Physician
  • San Juan, PR
  • NPI 1144224874
  NPD (past)
• Prestige Medical Group Ljcpsc

  • Anesthesiology Physician
  • San Juan, PR
  • NPI 1437332624
  NPD (past)

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1477761575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407B FERNANDO MONTILLA",
            "address_2": "SUITE 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-314-7450",
            "fax_number": "787-294-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407B FERNANDO MONTILLA",
            "address_2": "SUITE 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-314-7450",
            "fax_number": "787-294-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ MORENO",
        "first_name": "BRUNY",
        "middle_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "14561",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rafael Diaz Mendez, DMD
• Silvino Diaz Mendoza, MD
• Karen Diaz Miranda, RN
• Carlos Antonio Diaz Montes, PHARM D
• Abneris Diaz Morales, LND
• Yanet Diaz Morffi, M.D.
• Ivonne Marie Diaz Nieves
• Madeline T Diaz Nunez, MD
• Maria Esther Diaz Olmo, BSPH
• Samuel Joshua Diaz Ortiz, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.