Heberto R Diaz-Otero, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

6290 Issued in PR

Practice address

Cmscooperativo Road115 KM 24.6
Office #3
Aguada, PR 00602-0000

Phone

(787) 868-5111

Fax

(787) 868-2305

NPI assigned

Apr 11, 2006

Sex

Male

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

Specialty

Obstetrics/Gynecology

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: hdiazotero@1382.securemail.prognocis.com

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1750344602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250321",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006040321",
            "telephone_number": "787-868-5111",
            "fax_number": "787-868-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CMSCOOPERATIVO ROAD115 KM 24.6",
            "address_2": "OFFICE #3",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020000",
            "telephone_number": "787-868-5111",
            "fax_number": "787-868-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-OTERO",
        "first_name": "HEBERTO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "6290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Filiberto Desa Cintron, DDS
• Marian Desarden Vializ, MSW
• Diamond Mt Corp.
• Orlando Jasiel Diaz Miranda, DMD
• Jamil Tareck Diaz Ruiz, M.D.
• Manuel E Diaz, M.D.
• Myrna L. Diaz, MD
• DM Health Group LLC
• Ramon Domenech Garcia
• Francheska Domenech

• Obstetrics & Gynecology Physician in Aguada, PR
• Providers in Aguada, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.