Individual provider Active NPI

Marie G Diaz Pares

  • Infectious Disease Physician
  • San Juan, PR
National Provider Identifier
1659807733
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
019623 Issued in PR
Practice address
387 Calle Eleonor Roosevelt
San Juan, PR 00918-2108
Phone
(787) 612-6334
NPI assigned
May 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 019623 PR Primary

Addresses

Primary practice location

387 Calle Eleonor Roosevelt
San Juan, PR 00918-2108

Mailing address

387 Calle Eleonor Roosevelt
San Juan, PR 00918-2108
Phone (787) 612-6334

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
I20170804002944 PR Practitioner - General Practice 1850662198 Practice locations: Arecibo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019623PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1659807733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 CALLE ELEONOR ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182108",
            "telephone_number": "787-612-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 CALLE ELEONOR ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182108",
            "telephone_number": "787-612-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ PARES",
        "first_name": "MARIE",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "019623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.