Temistocles Disla, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

5519 Issued in PR

Practice address

1172 Ave Dos Palmas
Levittown, PR 00949-4102

Phone

(787) 784-6396

Fax

(787) 753-3902

NPI assigned

Sep 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Eastern Cardiovascular Diagnostic, Inc.

  • Diagnostic Radiology Physician
  • Morovis, PR
  • NPI 1326015876
  NPD (past)
• Quality Imaging Medical Diagnostic, Inc.

  • Diagnostic Radiology Physician
  • Toa Baja, PR
  • NPI 1811964422
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790877199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 CALLE ALCALA",
            "address_2": "URB. COLLEGE PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214335",
            "telephone_number": "787-616-7487",
            "fax_number": "787-753-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 AVE DOS PALMAS",
            "city": "LEVITTOWN",
            "state": "PR",
            "postal_code": "009494102",
            "telephone_number": "787-784-6396",
            "fax_number": "787-753-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISLA",
        "first_name": "TEMISTOCLES",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "5519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5519",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan E Chinea II, M.S.W
• Milagro Cortes-Mercado, MD
• Livia Mercedes Cruz Felix, DDS
• Carmen M Cruz
• Yamil Cruz, RPH
• Jose M Encarnacion-Cruz, MD
• Kelaris Estevez
• Ada F Faria, D.D.S.
• Levittown Clinical Center PSC
• Nanette R Mendez, DMD

• Anesthesiology Physician in Levittown, PR
• Providers in Levittown, PR by specialty
• Anesthesiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.