Individual provider Active NPI

Elsie M Diaz - Schroeder, MD

  • Pulmonary Disease Physician
  • Caguas, PR
National Provider Identifier
1487874665
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
12260 Issued in PR
Practice address
Calle Santa Maria M2
Ave Bairoa
Caguas, PR 00725
Phone
(787) 436-2086
Fax
(939) 437-4037
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 12260 PR Primary

Addresses

Primary practice location

Calle Santa Maria M2
Ave Bairoa
Caguas, PR 00725

Mailing address

PO Box 6466
Caguas, PR 00726-6466
Phone (787) 436-2086

Other practice location 1

2 Munoz Rivera
Professional Center Suite C2
Caguas, PR 00725
Phone (787) 436-2086

Other practice location 2

Munoz Rivera #2
Professional Center Suite C2
Caguas, PR 00725
Phone (787) 436-2086

Other practice location 3

Provider Enrollment Dept. Lahey Clinic Inc
41 Mall Road
Burlington, MA 01805
Phone (781) 744-8085

Other practice location 4

AB6 Calle Reina Isabel
Urb Bairoa
Caguas, PR 00725
Phone (787) 436-2086

Other identifiers 2

IdentifierTypeStateIssuer
037447400MedicaidPR
20385OtherPRTRIPLE SSS

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL oficinadradiaz@gmail.com Health Information Exchange (HIE)
Other URL caguas Health Information Exchange (HIE)

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
I20141020000222 PR Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 8022239979 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Santa Maria
M2 Ave Bairoa
Caguas, PR 00725
Phone (787) 436-2086

Professional Ctr
Suite 310
Caguas, PR 00725

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardio Prevent, P.S.C. PastSince Nov 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1487874665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6466",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266466",
            "telephone_number": "787-436-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTA MARIA M2",
            "address_2": "AVE BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-436-2086",
            "fax_number": "939-437-4037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Munoz Rivera",
            "address_2": "Professional Center Suite C2",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-436-2086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Munoz Rivera #2",
            "address_2": "Professional Center Suite C2",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-436-2086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Provider Enrollment Dept. Lahey Clinic Inc",
            "address_2": "41 Mall Road",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "01805",
            "country_code": "US",
            "telephone_number": "781-744-8085",
            "fax_number": "781-744-5433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "AB6 Calle Reina Isabel",
            "address_2": "Urb Bairoa",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-436-2086",
            "fax_number": "787-743-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ - SCHROEDER",
        "first_name": "ELSIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2021-12-02",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "12260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037447400",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "20385",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "oficinadradiaz@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patient messages",
            "address_1": "AB6 Calle Reina Isabel",
            "address_2": "Urb Bairoa",
            "city": "Caguas",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "caguas",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient messages",
            "address_1": "Calle Santa Maria M2",
            "address_2": "Ave Bairoa",
            "city": "Caguas",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.