Samuel Joshua Diaz Ortiz, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22937 Issued in PR

Practice address

Centro Medico de Puerto Rico
San Juan, PR 00935-0001

Phone

(787) 777-3535

NPI assigned

Jun 23, 2021

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

Other names 1

• Samuel Joshua Diaz Ortiz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1558930552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CALLE PRINCESA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533608",
            "telephone_number": "787-388-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO DE PUERTO RICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-777-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ ORTIZ",
        "first_name": "SAMUEL",
        "middle_name": "JOSHUA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMUEL",
            "last_name": "DIAZ ORTIZ",
            "middle_name": "JOSHUA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bruny Vanessa Diaz Moreno, M.D
• Yanet Diaz Morffi, M.D.
• Ivonne Marie Diaz Nieves
• Madeline T Diaz Nunez, MD
• Maria Esther Diaz Olmo, BSPH
• Marie G Diaz Pares
• Sonia Esther Diaz Perez, M.D
• Raul Diaz Pineiro
• Rosa A Diaz Ramirez
• Francisco M. Diaz Ramos

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.