Individual provider Active NPI

Guillermo H Jordan Diaz, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Bayamon, PR
National Provider Identifier
1679661201
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
4346 Issued in PR
Practice address
68 Calle Santa Cruz Ste 601
Bayamon, PR 00961-7035
Phone
(787) 780-6223
Fax
(787) 269-1015
NPI assigned
Oct 10, 2006
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4346 PR
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 4346 PR Primary

Addresses

Primary practice location

68 Calle Santa Cruz Ste 601
Bayamon, PR 00961-7035

Mailing address

PO Box 10975
San Juan, PR 00922-0975
Phone (787) 780-6223

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
I20121015000300 PR Practitioner - Orthopedic Surgery 0345490041 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Puerto Rico School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

68 Calle Santa Cruz
Bayamon, PR 00961-7031
Phone (787) 780-6223

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement51
Lower limb (leg) arthroscopy (minimally invasive joint repair)140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4346PRMDClinical Psychologist

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1679661201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10975",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220975",
            "telephone_number": "787-780-6223",
            "fax_number": "787-269-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CALLE SANTA CRUZ STE 601",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617035",
            "telephone_number": "787-780-6223",
            "fax_number": "787-269-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN DIAZ",
        "first_name": "GUILLERMO",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "4346",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "PR",
            "license": "4346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.