Individual provider Active NPI

Daniel Dionisio Diaz Jimenez, DMD

  • Dental Clinic/Center
  • Guaynabo, PR
National Provider Identifier
1679770440
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2749 Issued in PR
Practice address
Ave Ponce de Leon 123 Bo Amelia
Guaynabo, PR 00965
Phone
(787) 273-0918
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2749 PR
Dental Clinic/Center 261QD0000X 2749 PR Primary

Addresses

Primary practice location

Ave Ponce de Leon 123 Bo Amelia
Guaynabo, PR 00965

Mailing address

PO Box 810119
Carolina, PR 00981-0119
Phone (787) 273-0918

Other names 1

  • Dr. Daniel D Diaz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2749PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Torres & Torres Dental Group, PSC Past Accepting new patients
Clinica Dental Dr Daniel D Diaz Jimenez Dental Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1679770440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810119",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009810119",
            "telephone_number": "787-273-0918",
            "fax_number": "787-273-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PONCE DE LEON 123 BO AMELIA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00965",
            "telephone_number": "787-273-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ JIMENEZ",
        "first_name": "DANIEL",
        "middle_name": "DIONISIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2749",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "2749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "DIAZ",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.