Individual provider Active NPI

Rodrigo Diaz, MD

  • Obstetrics & Gynecology Physician
  • Hato Rey, PR
National Provider Identifier
1659330900
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
11301 Issued in PR
Practice address
Ave FD Roosevet 400
Suite 304
Hato Rey, PR 00918
Phone
(787) 753-7406
Fax
(787) 753-0054
NPI assigned
Mar 23, 2006
Last updated
May 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 11301 PR Primary

Addresses

Primary practice location

Ave FD Roosevet 400
Suite 304
Hato Rey, PR 00918

Mailing address

400 Ave FD Roosevelt
Suite 304
San Juan, PR 00918-2130
Phone (787) 753-7406

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
I20090218000468 PR Practitioner - Obstetrics/Gynecology 9830253152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The OB/GYN Professionals Group PSCGroup PAC ID 3779647094, 3 clinicians

Practice addresses (Care Compare)

1 Ave Casa Linda
Bayamon, PR 00959-9000
Phone (787) 789-1996

Clinicas Las Americas
400 Ave Roosevelt Suite 304
San Juan, PR 00918-2162
Phone (787) 753-7406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11301PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Americas Guaynabo, Inc Obstetrics & Gynecology CurrentSince Oct 13, 2013 Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Oct 13, 2013 Accepting new patients
The OB-GYN Professionals Group PSC CurrentSince Jul 1, 2002 Accepting new patients
Municipality of San Juan PR Past Accepting new patients

Locations

1 Ave Casa Linda
Bayamon, PR 00959

1 Ave Casa Linda
Ste 101
Bayamon, PR 00959
Phone (787) 399-9092

400 Ave Fd Roosevelt
Ste 304
San Juan, PR 00918
Phone (787) 753-7406

Interoperability endpoints

  • Direct secure messaging: rodrigo.diazvelasco@4048.securemail.prognocis.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1659330900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT",
            "address_2": "SUITE 304",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182130",
            "telephone_number": "787-753-7406",
            "fax_number": "787-753-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE FD ROOSEVET 400",
            "address_2": "SUITE 304",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-753-7406",
            "fax_number": "787-753-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "RODRIGO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "11301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.