Individual provider Active NPI

Daphne E. Diaz Vazquez, M.D.

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1760863526
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21377 Issued in PR
Practice address
Puerto Rico Medical Center
Bo. Monacillos
San Juan, PR 00917
Phone
(787) 980-8501
NPI assigned
Jun 17, 2015
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21377 PR Primary

Addresses

Primary practice location

Puerto Rico Medical Center
Bo. Monacillos
San Juan, PR 00917

Mailing address

1794 Calle Glasgow
San Juan, PR 00921-4809
Phone (787) 980-8501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200818000285 PR Practitioner - Obstetrics/Gynecology 0840616132 Reassigns benefits to 1 organization
I20230222000286 AL Practitioner - Obstetrics/Gynecology 0840616132

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 Roosevelt Ave Torre de Plaza
Suite 701
San Juan, PR 00918
Phone (787) 282-6675

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21377PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dfem LLC Single Specialty CurrentSince Jun 1, 2020 Accepting new patients

Locations

525 Ave Fd Roosevelt
Ofc 701
San Juan, PR 00918
Phone (787) 461-5677

Interoperability endpoints

  • Direct secure messaging: daphne.diaz@ham.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1760863526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1794 CALLE GLASGOW",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214809",
            "telephone_number": "787-980-8501",
            "fax_number": "787-993-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PUERTO RICO MEDICAL CENTER",
            "address_2": "BO. MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-980-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ VAZQUEZ",
        "first_name": "DAPHNE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2022-04-19",
        "certification_date": "2020-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "21377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.