Rafael Angel Diaz Cancel, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DM2394 Issued in PR

Practice address

Calle Domingo Caceres #61W
Pueblo Station
Carolina, PR 00986

Phone

(787) 769-6880

NPI assigned

Jul 13, 2005

Last updated

Apr 19, 2022By the provider in NPPES

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

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• DC Dental, Inc

  • Dental Clinic/Center
  • Carolina, PR
  • NPI 1306495023
  NPD Authorized official

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1669470654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860840",
            "telephone_number": "787-510-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DOMINGO CACERES #61W",
            "address_2": "PUEBLO STATION",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00986",
            "telephone_number": "787-769-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ CANCEL",
        "first_name": "RAFAEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "DM2394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038819600",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betzaida Deniz
• Dentalia Medika Corp
• Departamento de Salud Oficial
• Bernardo Antonio Depaz Reyes, MD
• Viviana Deya Quinquilla, PSY.D
• Ismael Enrique Diaz Davila, M.D.
• Santiago E Diaz del Campo, M.D.
• Josua Dimarc Diaz Franco, NL
• Florieli Diaz Gonzalez, PHARMD
• Monica Beatriz Diaz Hernandez, PSYD

• Dentist in Carolina, PR
• Providers in Carolina, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.