Jose A. Gaudier Diaz, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21679 Issued in PR

Practice address

40A Calle Orquidea
Canovanas, PR 00729-3540

Phone

(787) 256-5659

NPI assigned

Jun 1, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• HPM Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • San Juan, PR
  • NPI 1316167661

  General Practice

  Medicare reassignment NPD
• Grupo Medico del Noreste

  • Family Medicine Physician
  • Canovanas, PR
  • NPI 1639164262
  NPD
• HPM Foundation Inc Centro de Imagen

  • Mammography Clinic/Center
  • San Juan, PR
  • NPI 1891193389
  NPD

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1730537689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40A CALLE ORQUIDEA",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293540",
            "telephone_number": "787-256-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40A CALLE ORQUIDEA",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293540",
            "telephone_number": "787-256-5659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Ave Borinquen",
            "address_purpose": "LOCATION",
            "city": "Santurce",
            "state": "PR",
            "postal_code": "009153822",
            "country_code": "US",
            "telephone_number": "787-268-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUDIER DIAZ",
        "first_name": "JOSE",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21679",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "21679",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUNA DE LICENCIAMIENTO DE PUERTO RICO",
            "identifier": "21679",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel M Garcia Alvarez, BSN, SRNA
• Priscila Garcia Marrero, MS, SLP
• Oscar Garcia Roman, MD
• Melanie Garcia-del Valle, MSW
• Jennifer M Garcia, PSYD
• Gelycan Corp
• Aleisa Gines, OTL
• Glorimar Santos Llanos PSC
• Wilfred Gomez Saldana, MD
• Mairalisa Gomez-Fortuna, M.D.

• General Practice Physician in Canovanas, PR
• Providers in Canovanas, 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 Nov 28, 2022; 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.