Individual provider Active NPI

Jose Alberto Rodriguez Diaz, MD

  • Orthopaedic Surgery Physician
  • Dorado, PR
National Provider Identifier
1609134881
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
21258 Issued in PR
Practice address
900 Carr 696
Dorado, PR 00646-5718
Phone
(787) 625-5050
Fax
(787) 625-1081
NPI assigned
Apr 25, 2012
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 21258 PR Primary

Addresses

Primary practice location

900 Carr 696
Dorado, PR 00646-5718

Mailing address

710 Calle Un Apt 202
San Juan, PR 00907-4238
Phone (787) 955-3331

Other practice location 1

Carr. #874
Avenida Fernandez Juncos
Carolina, PR 00986
Phone (787) 626-0472

Other practice location 2

Marginal Carr#2
Local Esquina 3-B
Bayamon, PR 00959
Phone (787) 622-5420 ext. 5830

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
I20191107001646 PR Practitioner - Orthopedic Surgery 8729389077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Puerto Rico School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 Calle Molinillo
Carolina, PR 00985-6144
Phone (787) 210-4272

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caribbean Shoulder and Elbow Institute CurrentSince Sep 3, 2019 Accepting new patients
Afkt LLC Orthopaedic Surgery PastSince Sep 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jose.rodriguezdiaz@2621.securemail.prognocis.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1609134881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CALLE UN APT 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074238",
            "telephone_number": "787-955-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CARR 696",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006465718",
            "telephone_number": "787-625-5050",
            "fax_number": "787-625-1081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr. #874",
            "address_2": "Avenida Fernandez Juncos",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00986",
            "country_code": "US",
            "telephone_number": "787-626-0472",
            "fax_number": "787-626-0473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Marginal Carr#2",
            "address_2": "Local Esquina 3-B",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00959",
            "country_code": "US",
            "telephone_number": "787-622-5420 x5830",
            "fax_number": "787-625-2490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ DIAZ",
        "first_name": "JOSE",
        "middle_name": "ALBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "21258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.