Active NPI
Jose Francisco Rovira Diaz, M.D.
- Internal Medicine Physician
- Caguas, PR
National Provider Identifier
1669558912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9801
- Practice address
- Consolidated Mall Suite C 20a
Caguas, PR 00726 - Phone
- (787) 258-0850
- Fax
- (787) 258-2870
- NPI assigned
- Oct 30, 2006
- Last updated
- Nov 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9801 | PR | Primary |
Addresses
Primary practice location
Consolidated Mall Suite C 20a
Caguas, PR 00726
Mailing address
PMB 392 PO Box 4952
Caguas, PR 00726-4952
Phone (787) 258-0850
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83388RO | Other | SSS | |
| 067000 | Other | CRUZ AZUL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111007000557 | PR | Practitioner - Internal Medicine | 3476725821 | Practice locations: Caguas, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Consolidated Mall
Ave Gautier Benitez Suite C 20a
Caguas, PR 00725
Phone (787) 258-0850
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9801 | PR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1669558912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 392 PO BOX 4952",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007264952",
"telephone_number": "787-258-0850",
"fax_number": "787-258-2870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONSOLIDATED MALL SUITE C 20A",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00726",
"telephone_number": "787-258-0850",
"fax_number": "787-258-2870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROVIRA DIAZ",
"first_name": "JOSE",
"middle_name": "FRANCISCO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-30",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "9801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "83388RO",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "067000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.