Ruben Diaz - Rodriguez Sr., MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

6192 Issued in PR

Practice address

Bayamon Medical Plaza
Suite 611
Bayamon, PR 00959

Phone

(787) 798-0750

Fax

(787) 787-7523

NPI assigned

Jan 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sjcrudiaz@yourcarecommunity.org

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.

• Recinto de Ciencias Medicas

  dba Recinto de Ciencias Medicas-Cardiologia Pediatrica

  • Pediatric Cardiology Physician
  • San Juan, PR
  • NPI 1841360187
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1629058482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STREET FIDALGO DIAZ",
            "address_2": "CALDAS #2037",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265442",
            "telephone_number": "787-798-0750",
            "fax_number": "787-787-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLAZA",
            "address_2": "SUITE 611",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-798-0750",
            "fax_number": "787-787-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ - RODRIGUEZ",
        "first_name": "RUBEN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "PR",
            "license": "6192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermasalud, P.S.C.
• Dermasurgery, PSC
• Clementina Devarie Jr., M.D.
• Gilberto Gabriel Deya, MD
• Beverly K Di Giorgi, MD
• Mariselee Diaz Conde
• Amarilis Diaz Diaz
• Mayela M Diaz Diaz, MD
• Noel Diaz Fret
• Luciano Luis Diaz Godoy, DC

• Pediatric Cardiology Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Pediatric Cardiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.