Active NPI
Zoraya Diaz Monserrate, DMD
- Dentist
- Trujillo Alto, PR
National Provider Identifier
1750500229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2567
- Practice address
- Carr 844 KM 5 HM 0
Barrio Carraizo
Trujillo Alto, PR 00977 - Phone
- (787) 326-9926
- NPI assigned
- Apr 24, 2007
- Last updated
- Dec 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2567 | PR | Primary |
Addresses
Primary practice location
Carr 844 KM 5 HM 0
Barrio Carraizo
Trujillo Alto, PR 00977
Mailing address
PO Box 366954
San Juan, PR 00936-6954
Phone (787) 362-9926
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170109001964 | PR | Order and Referring Only - Other (Physician) | 4789965682 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2567 | PR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1750500229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 366954",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009366954",
"telephone_number": "787-362-9926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 844 KM 5 HM 0",
"address_2": "BARRIO CARRAIZO",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00977",
"telephone_number": "787-326-9926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ MONSERRATE",
"first_name": "ZORAYA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.