Individual provider Active NPI

Jose J Diaz-Abascal, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Caguas, PR
National Provider Identifier
1689786170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2098 Issued in PR
Practice address
A 1 Munoz Rivera Suite 302
Hima Surgicenter
Caguas, PR 00726-0870
Phone
(787) 744-3087
Fax
(787) 746-4840
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2098 PR Primary

Addresses

Primary practice location

A 1 Munoz Rivera Suite 302
Hima Surgicenter
Caguas, PR 00726-0870

Mailing address

PO Box 870
Caguas, PR 00726-0870
Phone (787) 744-3087

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160809002752 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3173817467

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2098PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689786170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260870",
            "telephone_number": "787-744-3087",
            "fax_number": "787-746-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A 1 MUNOZ RIVERA SUITE 302",
            "address_2": "HIMA SURGICENTER",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260870",
            "telephone_number": "787-744-3087",
            "fax_number": "787-746-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-ABASCAL",
        "first_name": "JOSE",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "2098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.