Organization Active NPI

Carlos R Diaz Velez MD CSP

  • Cardiovascular Disease Physician
  • Santurce, PR
National Provider Identifier
1821257403
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
009970 Issued in PR
Legal business name
CARLOS R DIAZ VELEZ MD CSP
Practice address
1449 Calle Americo Salas
Edificio Pavia II Suite 102
Santurce, PR 00909-2100
Phone
(787) 721-0525
Fax
(787) 722-1225
NPI assigned
Jun 9, 2008
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dr. Carlos Ruben Diaz, MDNPI 1093701062
Title
President
Phone
(787) 721-0525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 009970 PR Primary

Addresses

Primary practice location

1449 Calle Americo Salas
Edificio Pavia II Suite 102
Santurce, PR 00909-2100

Mailing address

1449 Calle Americo Salas
Edificio Pavia II Suite 102
Santurce, PR 00909-2100
Phone (787) 721-0525

Other identifiers 1

IdentifierTypeStateIssuer
009970OtherPRLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081013000392 PR Part B Supplier - Clinic/Group Practice 8729156112 Receives reassigned benefits from 1 practitioner
Practice locations: Santurce, PR

National Provider Directory

National Provider Directory

Locations

1449 Calle Americo Salas
Ste 102
Santurce, PR 00909
Phone (787) 721-0525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1821257403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 CALLE AMERICO SALAS",
            "address_2": "EDIFICIO PAVIA II SUITE 102",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092100",
            "telephone_number": "787-721-0525",
            "fax_number": "787-722-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 CALLE AMERICO SALAS",
            "address_2": "EDIFICIO PAVIA II SUITE 102",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092100",
            "telephone_number": "787-721-0525",
            "fax_number": "787-722-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS R DIAZ VELEZ MD CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-721-0525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "009970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "009970",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.