Individual provider Active NPI

Francisco Javier Diaz, M.D.

  • Pediatric Critical Care Medicine Physician
  • San Juan, PR
National Provider Identifier
1508826504
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
13201 Issued in PR
Practice address
252 San Jorge St.
Suite 406 San Jorge Medical Building
San Juan, PR 00912
Phone
(787) 726-0210
NPI assigned
Mar 24, 2006
Last updated
Mar 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 13201 PR Primary

Addresses

Primary practice location

252 San Jorge St.
Suite 406 San Jorge Medical Building
San Juan, PR 00912

Mailing address

Condominio Alturas de Caldas Fidalgo Diaz St.
Apt. 352
San Juan, PR 00926
Phone (787) 717-3946

Other identifiers 1

IdentifierTypeStateIssuer
80992OtherPRSSS

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
I20120309000313 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 8527227669 Reassigns benefits to 2 organizations
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Critical Care (Intensivists)
Education
University of Puerto Rico School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Ave Americo Miranda
Centro Medico PR
San Juan, PR 00935-0001
Phone (787) 758-7953

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13201PRMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Jul 8, 2017 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Oct 1, 2011 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Oct 1, 2011 Accepting new patients
Recinto de Ciencias Medicas Pediatric Critical Care Medicine CurrentSince Jul 8, 2017 Accepting new patients
Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe Past Accepting new patients
Grupo Intensivo Pediatrico de San Juan Pediatric Critical Care Medicine Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Ave Americo Miranda
San Juan, PR 00935
Phone (787) 294-0512

BO Monacillos
San Juan, PR 00935

Organizations & group practices 6

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1508826504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO ALTURAS DE CALDAS FIDALGO DIAZ ST.",
            "address_2": "APT. 352",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-717-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 SAN JORGE ST.",
            "address_2": "SUITE 406 SAN JORGE MEDICAL BUILDING",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-726-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "FRANCISCO",
        "middle_name": "JAVIER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "PR",
            "license": "13201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "80992",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.