Individual provider Active NPI

Victor J Llado Diaz, MD

  • Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1770791576
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4229 Issued in PR
Practice address
374 Calle Rafael Lamar
San Juan, PR 00918-2117
Phone
(787) 759-7948
Fax
(787) 759-9645
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4229 PR Primary

Addresses

Primary practice location

374 Calle Rafael Lamar
San Juan, PR 00918-2117

Mailing address

374 Calle Rafael Lamar
San Juan, PR 00918-2117
Phone (787) 759-7948

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
I20151124002878 PR Practitioner - Psychiatry 6800196767 Practice locations: San Juan, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Victor J Llado, MD, LLC Psychiatry 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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1770791576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 CALLE RAFAEL LAMAR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182117",
            "telephone_number": "787-759-7948",
            "fax_number": "787-759-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 CALLE RAFAEL LAMAR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182117",
            "telephone_number": "787-759-7948",
            "fax_number": "787-759-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLADO DIAZ",
        "first_name": "VICTOR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "4229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.