Nicole Marie Bisono Diaz, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

024014 Issued in PR

Practice address

Urb. Mariolga 100
Ave. Luis Munoz Marin
Caguas, PR 00725-6184

Phone

(787) 653-3434

NPI assigned

Jul 11, 2024

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Physician Providers, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Arecibo, PR
  • NPI 1245775089
  Medicare reassignment NPD
• Hospital Menonita Caguas Inc

  dba Grupo Medico Menonita de Caguas

  • Specialist
  • Caguas, PR
  • NPI 1295327625
  Medicare reassignment NPD
• MM Health Services LLC

  • Emergency Care Clinic/Center
  • Cabo Rojo, PR
  • NPI 1801622774

  General Practice

  Medicare reassignment NPD
• Zenith Health Group LLC

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1124821152
  Medicare reassignment NPD
• Hospital Menonita Caguas Inc

  • Rehabilitation Hospital Unit
  • Caguas, PR
  • NPI 1871164871
  NPD
• MM Health Services, LLC.

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1982492609
  NPD
• Dla Imaging LLC

  • Diagnostic Radiology Physician
  • Guaynabo, PR
  • NPI 1366890311
  NPD (past)
• Platinum Emergency Physicians, PSC

  • Emergency Medicine Physician
  • Arecibo, PR
  • NPI 1285980052
  NPD (past)

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1720825375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6858",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. MARIOLGA 100",
            "address_2": "AVE. LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256184",
            "telephone_number": "787-653-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISONO DIAZ",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "024014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Enid Bezares, M.D.
• Bio-Medical Applications of Caguas, Inc. (Bma Caguas)
• Bio-Medical Applications of Puerto Rico, Inc. (Fresenius Kidney Care Ciudad Criolla)
• Tomas Javier Birriel, M.D.
• Luis Andres Bisbal-Matos, MD
• BJ 4D Ultrasound Experience LLC
• Carmen Blanco Torres, BAPH
• Sullymar Blanco
• David E Blas-Boria, M.D.
• Aileen Blasini, MA

• General Practice Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.