Edgar Diaz-Ruiz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

02121 Issued in PR

Practice address

467 Calle de Diego
Rio Piedras
San Juan, PR 00923-7002

Phone

(787) 762-5220

Fax

(787) 762-5220

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1689667289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 CALLE CAPRI",
            "address_2": "EXT. EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009823626",
            "telephone_number": "787-752-4686",
            "fax_number": "787-762-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 CALLE DE DIEGO",
            "address_2": "RIO PIEDRAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009237002",
            "telephone_number": "787-762-5220",
            "fax_number": "787-762-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-RUIZ",
        "first_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "02121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivette M Diaz-Machado, PSYD
• Jeannette Xiomara Diaz-Ortiz
• Luis Fernando Diaz-Pagan
• Porfirio Ernesto Diaz-Rodriguez, MD
• Yahaira Noemi Diaz-Rodriguez, M.D.
• Lorena Diaz-Trancon, M.D.
• Lucy Diaz-Valcarcel, M.D.
• Agnes S Diaz, PH.D.
• Alejandro Diaz, O.D.
• Alwin E. Diaz

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.