Individual provider Active NPI

Jose Ricardo Llado-Diaz, M.D.

  • Ophthalmology Physician
  • Bayamon, PR
National Provider Identifier
1659428217
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7383 Issued in PR
Practice address
K 11.7 Carr. Num. 2
CT Radiology BLDG.
Bayamon, PR 00959
Phone
(787) 787-0415
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 7383 PR Primary

Addresses

Primary practice location

K 11.7 Carr. Num. 2
CT Radiology BLDG.
Bayamon, PR 00959

Mailing address

M4 Calle Clavel
Parque de Santa Maria
San Juan, PR 00927-6738
Phone (787) 787-0415

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
I20090717000399 PR Practitioner - Ophthalmology 7618029943 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1855 Carr No
2 CT Radiology BLDG
Bayamon, PR 00959-7279

CT Radiology BLDG
1855 Carr No 2
Bayamon, PR 00959-7279
Phone (787) 787-0415

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7383PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659428217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "M4 CALLE CLAVEL",
            "address_2": "PARQUE DE SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276738",
            "telephone_number": "787-787-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "K 11.7 CARR. NUM. 2",
            "address_2": "CT RADIOLOGY BLDG.",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-787-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLADO-DIAZ",
        "first_name": "JOSE",
        "middle_name": "RICARDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "7383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.