Active NPI
Janet Diaz, DMD
- Dentist
- Yauco, PR
National Provider Identifier
1609869338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2407
- Practice address
- Carr 368 KM 12.6
Bo. Susua Baja
Yauco, PR 00698 - Phone
- (787) 267-1269
- Fax
- (787) 267-1269
- NPI assigned
- Aug 29, 2005
- Last updated
- Aug 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2407 | PR | Primary |
Addresses
Primary practice location
Carr 368 KM 12.6
Bo. Susua Baja
Yauco, PR 00698
Mailing address
Amaury Veray a-20
Urb. Buena Vista
Yauco, PR 00698-3519
Phone (787) 267-1269
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DRAJANET1 | Other | PR | INMEDIATA |
| JD1269 | Other | INMEDIATA | |
| SESPRO | Other | PR | TRIPLE S |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150721001557 | PR | Order and Referring Only - Oral Surgery | 3779896626 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2407 | PR | MD | Professional Counselor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Yauco, PR
- NPI 1235378464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1609869338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AMAURY VERAY A-20",
"address_2": "URB. BUENA VISTA",
"city": "YAUCO",
"state": "PR",
"postal_code": "006983519",
"telephone_number": "787-267-1269",
"fax_number": "787-267-1269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 368 KM 12.6",
"address_2": "BO. SUSUA BAJA",
"city": "YAUCO",
"state": "PR",
"postal_code": "00698",
"telephone_number": "787-267-1269",
"fax_number": "787-267-1269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "JANET",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-29",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INMEDIATA",
"identifier": "DRAJANET1",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INMEDIATA",
"identifier": "JD1269",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "SESPRO",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yauco, PR
- Felix Antonio Cuevas Guzman, PT
- Lorenia Delgado Pacheco, M.D.
- Rolando Delgado, D.O.
- Maria Cecilia Delvalle-Santiago
- Francheska Michelle Desa, DC
- Dr Luis D Pacheco Garcia LLC
- Dr Radames Antonio Marin-Medicina de Familia CSP
- Dr. Jorge L. Rodriguez Orengo,C.S.P.
- Dr. Ramon Borrero Dental Office,PSC
- Dr.Higinio a Gonzalez PSYD:Servicios Psicologicos Y Psicoeducativos CS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.