Organization Active NPI

Oficina Medico Primario Dr. Eduardo Diaz CSP

  • General Practice Physician
  • Cayey, PR
National Provider Identifier
1659702207
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OFICINA MEDICO PRIMARIO DR. EDUARDO DIAZ CSP
Practice address
108 Calle Munoz Rivera
Cayey, PR 00736
Phone
(787) 263-0965
Fax
(787) 735-7613
NPI assigned
Dec 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Eduardo DiazNPI 1619943396
Title
MD
Phone
(787) 263-0965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

108 Calle Munoz Rivera
Cayey, PR 00736

Mailing address

Calle 4 E8 Boneville Terrace
Caguas, PR 00725
Phone (787) 263-0965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151222000210 PR Part B Supplier - Clinic/Group Practice 2264733989 Receives reassigned benefits from 1 practitioner
Practice locations: Cayey, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1659702207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 4 E8 BONEVILLE TERRACE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-263-0965",
            "fax_number": "787-735-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CALLE MUNOZ RIVERA",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-263-0965",
            "fax_number": "787-735-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFICINA MEDICO PRIMARIO DR. EDUARDO DIAZ CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-263-0965"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.