Individual provider Active NPI

Maria Elena Rios-Diaz

  • Primary Care Clinic/Center
  • Caguas, PR
National Provider Identifier
1508995259
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
11732 Issued in PR
Practice address
H16 Calle San Felipe
Notre Dame
Caguas, PR 00725-3910
Phone
(787) 646-3230
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 11732 PR Primary

Addresses

Primary practice location

H16 Calle San Felipe
Notre Dame
Caguas, PR 00725-3910

Mailing address

1757 Calle Guanajibo
Crown Hills
San Juan, PR 00926-6035
Phone (787) 646-3230

Other identifiers 1

IdentifierTypeStateIssuer
11732OtherPRSTATE MD LICENSE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11732PRMDPrimary Care Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1508995259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 CALLE GUANAJIBO",
            "address_2": "CROWN HILLS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266035",
            "telephone_number": "787-646-3230",
            "fax_number": "787-767-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "H16 CALLE SAN FELIPE",
            "address_2": "NOTRE DAME",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253910",
            "telephone_number": "787-646-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS-DIAZ",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "11732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MD LICENSE ID",
            "identifier": "11732",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.