Individual provider Active NPI

Sonia Esther Diaz Perez, M.D

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1568463180
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
11810 Issued in PR
Practice address
735 Ave Ponce de Leon
Torre Medica Auxiluo Mutuo Ste 511
San Juan, PR 00917-5022
Phone
(787) 763-5500
Fax
(787) 763-5621
NPI assigned
Aug 4, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 11810 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon
Torre Medica Auxiluo Mutuo Ste 511
San Juan, PR 00917-5022

Mailing address

735 Ave Pone de Leon
Torre Medica Auxilio Mutuo Ste 511
San Juan, PR 00917
Phone (787) 763-5500

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
I20040115000643 PR Practitioner - Obstetrics/Gynecology 8820999642 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

735 Ave Ponce de Leon
San Juan, PR 00917-5022
Phone (787) 763-5500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11810PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Medical Assoc PSC 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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1568463180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 AVE PONE DE LEON",
            "address_2": "TORRE MEDICA AUXILIO MUTUO STE 511",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-763-5500",
            "fax_number": "787-763-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "TORRE MEDICA AUXILUO MUTUO STE 511",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-763-5500",
            "fax_number": "787-763-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ PEREZ",
        "first_name": "SONIA",
        "middle_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "11810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.