Individual provider Active NPI

Maria D Diaz, M.D

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1639443385
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18405 Issued in PR
Practice address
Cond Monteflores # 2007
Calle Las Violetas 9 B
San Juan, PR 00915-3509
Phone
(787) 461-3859
NPI assigned
Feb 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18405 PR Primary

Addresses

Primary practice location

Cond Monteflores # 2007
Calle Las Violetas 9 B
San Juan, PR 00915-3509

Mailing address

Cond Monteflores # 2007
Calle Las Violetas 9 B
San Juan, PR 00915-3509
Phone (787) 461-3859

Other names 1

  • Maria D Diaz Former name

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
I20130909000403 PR Practitioner - General Practice 7719120997 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gemipsc CurrentSince Mar 23, 2024 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jul 6, 2013 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Jul 6, 2013 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

3 Calle Font Martelo E
Humacao, PR 00791
Phone (787) 656-2427

B41 Calle Elliot Velez
Manati, PR 00674
Phone (787) 621-4364

Organizations & group practices 3

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": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1639443385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND MONTEFLORES # 2007",
            "address_2": "CALLE LAS VIOLETAS 9 B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153509",
            "telephone_number": "787-461-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND MONTEFLORES # 2007",
            "address_2": "CALLE LAS VIOLETAS 9 B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153509",
            "telephone_number": "787-461-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "DIAZ",
            "middle_name": "D",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.