Individual provider Active NPI

Jose E Pereyo Diaz, M.D.

  • Cardiovascular Disease Physician
  • Bayamon, PR
National Provider Identifier
1770577454
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13705 Issued in PR
Practice address
Edif. Dr. Arturo Cadilla
Paseo San Pablo #100 Suite 207
Bayamon, PR 00959
Phone
(787) 787-8060
Fax
(787) 786-4870
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 13705 PR Primary

Addresses

Primary practice location

Edif. Dr. Arturo Cadilla
Paseo San Pablo #100 Suite 207
Bayamon, PR 00959

Mailing address

PO Box 9432
Bayamon Branch
Bayamon, PR 00960-6092
Phone (787) 787-8060

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
I20041227000075 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9436117371 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Paseo San Pablo
Bayamon, PR 00961-7019
Phone (787) 787-8060

Paseo San Pablo
100 Edificio Dr Arturo Cadilla Suite 207
Bayamon, PR 00961

PO Box
9432 Bayamon Branch
Bayamon, PR 00960-8043

Hospital & facility affiliations

  • Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13705PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Metropolitano de Cardiologia Cardiovascular Disease Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1770577454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9432",
            "address_2": "BAYAMON BRANCH",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009606092",
            "telephone_number": "787-787-8060",
            "fax_number": "787-786-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF. DR. ARTURO CADILLA",
            "address_2": "PASEO SAN PABLO #100 SUITE 207",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-787-8060",
            "fax_number": "787-786-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREYO DIAZ",
        "first_name": "JOSE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "13705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.