Individual provider Active NPI

Lourdes Rivas Diaz, MD

  • General Practice Physician
  • Naranjito, PR
National Provider Identifier
1679686919
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12209 Issued in PR
Practice address
Carr 152 KM 12 HM 2, Naranjito Barranquitas
Naranjito, PR 00719
Phone
(787) 869-5900
NPI assigned
Aug 17, 2006
Last updated
Oct 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12209 PR Primary

Addresses

Primary practice location

Carr 152 KM 12 HM 2, Naranjito Barranquitas
Naranjito, PR 00719

Mailing address

977 Calle Gran Capitan
Palacio de Marbella
Toa Alta, PR 00953-5205
Phone (787) 163-1332

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
I20090915000625 PR Practitioner - General Practice 0648326793 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. Current Accepting new patients
Salud Integral En la Montana, Inc General Practice CurrentSince Sep 21, 2019 Accepting new patients
Salud Integral En la Montana, Inc. General Practice CurrentSince Sep 21, 2019 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jul 6, 2009 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jul 6, 2009 Accepting new patients
Comerio Medical Hospital Inc Past Accepting new patients
Comerio Medical Hospital Inc Past Accepting new patients
Salud Integral En la Montana, Inc Past Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1679686919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 CALLE GRAN CAPITAN",
            "address_2": "PALACIO DE MARBELLA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009535205",
            "telephone_number": "787-163-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 152 KM 12 HM 2, NARANJITO BARRANQUITAS",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "787-869-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS DIAZ",
        "first_name": "LOURDES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.