Individual provider Active NPI

Miguel A Lopez-Diaz, MD

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1568433852
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5779 Issued in PR
Practice address
1801 Ave Ponce de Leon
Santurce Medical Mall, Ofice 406
San Juan, PR 00909-1900
Phone
(787) 728-5967
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5779 PR Primary

Addresses

Primary practice location

1801 Ave Ponce de Leon
Santurce Medical Mall, Ofice 406
San Juan, PR 00909-1900

Mailing address

243 Calle Paris
PMB 1689
San Juan, PR 00917-3632
Phone (787) 728-5967

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
I20130308000418 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4385899723 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1801 Ave Ponce de Leon
Suite 412
San Juan, PR 00909
Phone (787) 728-5967

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Cardiovascular No Invasivo Cardiovascular Disease Past 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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1568433852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CALLE PARIS",
            "address_2": "PMB 1689",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173632",
            "telephone_number": "787-728-5967",
            "fax_number": "787-728-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AVE PONCE DE LEON",
            "address_2": "SANTURCE MEDICAL MALL, OFICE 406",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091900",
            "telephone_number": "787-728-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-DIAZ",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "5779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.