Paul H Dixon Selles, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

9418 Issued in PR

Practice address

61A Calle Dolores Cabrera
Humacao, PR 00791-0000

Phone

(787) 719-4100

Fax

(787) 719-4101

NPI assigned

Sep 20, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1821195231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CALLE AMATISTA",
            "address_2": "VILLA BLANCA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-719-4100",
            "fax_number": "787-719-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61A CALLE DOLORES CABRERA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007910000",
            "telephone_number": "787-719-4100",
            "fax_number": "787-719-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON SELLES",
        "first_name": "PAUL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karmary Diaz, MSW
• Lorraine Diaz, L.N.D.
• Nestor Diaz, PHD
• Shaira Perea Diaz
• Rebeca Diazgonzalez, LCDA.
• Domenech Medical Services LLC
• Jonathan Domenech
• Victor A Dominguez Sierra, DC
• Victor Antonio Dominguez-Cay, D.C.
• Lisandra M Dominguez I, PSY.D.

• General Practice Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.