Individual provider Active NPI

Bryan A Santiago Diaz Sr., M.D.

  • Internal Medicine Physician
  • Caguas, PR
National Provider Identifier
1740733427
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19432 Issued in PR
Practice address
2.8 Carr 189
N/a
Caguas, PR 00725-6163
Phone
(787) 981-0804
NPI assigned
Jul 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 19432 PR Primary

Addresses

Primary practice location

2.8 Carr 189
N/a
Caguas, PR 00725-6163

Mailing address

Q1 Calle Santa Lucia
Santa Elvira
Caguas, PR 00725-3440
Phone (787) 981-0804

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623000503 PR Practitioner - Internal Medicine 4284050162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Med PSCGroup PAC ID 5294138566, 11 clinicians

Practice addresses (Care Compare)

Av Juan Ponce de Leon
Hato Rey Central
San Juan, PR 00919
Phone (787) 758-2000

Hospital & facility affiliations

  • Hospicio Luz Celeste Hospice, Caguas, PR, CCN 401576
  • Hospital Pavia Caguas Hospital, Caguas, PR, CCN 400120
  • Hospital San Francisco Hospital, San Juan, PR, CCN 400098

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sim LLC Single Specialty Current Accepting new patients
Hope Med PSC Single Specialty CurrentSince Oct 5, 2024 Accepting new patients
San Francisco Health System Inc Single Specialty Past Accepting new patients
Metro Caguas Incorporated Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

1519 Ave Ponce de Leon
Ste 302
San Juan, PR 00909
Phone (787) 725-8101

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1740733427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "Q1 CALLE SANTA LUCIA",
            "address_2": "SANTA ELVIRA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253440",
            "telephone_number": "787-981-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2.8 CARR 189",
            "address_2": "N/A",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256163",
            "telephone_number": "787-981-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO DIAZ",
        "first_name": "BRYAN",
        "middle_name": "A",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.