Active NPI
Eduardo Diaz
- General Practice Physician
- Cayey, PR
National Provider Identifier
1619943396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 8942
- Practice address
- Munoz Rivera 114 Sur
Cayey, PR 00736 - Phone
- (787) 263-0965
- Fax
- (787) 263-0965
- NPI assigned
- Feb 23, 2006
- Last updated
- Mar 9, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 8942 | PR | Primary |
Addresses
Primary practice location
Munoz Rivera 114 Sur
Cayey, PR 00736
Mailing address
Boneville Terrace C4 E-8
Caguas, PR 00725
Phone (787) 263-0965
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Muoz Rivera
114 Sur
Cayey, PR 00736
Phone (787) 263-0965
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8942 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oficina Medico Primario Dr. Eduardo Diaz CSP | General Practice | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Cayey, PR
- NPI 1659702207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1619943396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BONEVILLE TERRACE C4 E-8",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-263-0965",
"fax_number": "787-263-0965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MUNOZ RIVERA 114 SUR",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-263-0965",
"fax_number": "787-263-0965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "EDUARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "8942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.