Luis Miguel Diaz Colon, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15393I Issued in PR

Practice address

Calle Hernandez Carrion Carr #2
Interseccion 668 Urb. Atenas
Manati, PR 00674-1142

Phone

(787) 621-3700

Fax

(787) 621-3266

NPI assigned

Sep 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1669086740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006590560",
            "telephone_number": "787-246-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HERNANDEZ CARRION CARR #2",
            "address_2": "INTERSECCION 668 URB. ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741142",
            "telephone_number": "787-621-3700",
            "fax_number": "787-621-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ COLON",
        "first_name": "LUIS",
        "middle_name": "MIGUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15393I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermasthetics North Clinic
• Diabetic Solutions Corp
• Diabetic Solutions Medical Equipment & Prosthetic Corp
• Diagnostic Imaging at DCH Bayamon, PSC
• Diagnostic Imaging at Doctors Center Hospital P S C
• Rocio del Carmen Diaz Martinez, MD
• Lillybeth Diaz Valedon, PHYD
• Ralph Diaz-Colon, MD
• Manuel G. Diaz-Lugo, MD
• Raquel Diaz-Montalvo

• General Practice Physician in Manati, PR
• Providers in Manati, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.