Active NPI
Luis Raul Diaz, M.D.
- Family Medicine Physician
- Comerio, PR
National Provider Identifier
1720056617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7040
- Practice address
- 77 Calle Gerardo Nieves Mercado
Comerio, PR 00782-2540 - Phone
- (787) 613-0769
- Fax
- (787) 875-3913
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7040 | PR | Primary |
Addresses
Primary practice location
77 Calle Gerardo Nieves Mercado
Comerio, PR 00782-2540
Mailing address
Quintas de Flamingo
C-1 Calle 2
Bayamon, PR 00959
Phone (787) 613-0769
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040927000660 | PR | Practitioner - Family Practice | 7719956879 | Practice locations: Comerio, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7040 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1720056617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "QUINTAS DE FLAMINGO",
"address_2": "C-1 CALLE 2",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-613-0769",
"fax_number": "787-875-3913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 CALLE GERARDO NIEVES MERCADO",
"city": "COMERIO",
"state": "PR",
"postal_code": "007822540",
"telephone_number": "787-613-0769",
"fax_number": "787-875-3913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "LUIS",
"middle_name": "RAUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "7040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Comerio, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.