Individual provider Active NPI

Damaris Diaz Moran, M.D.

  • Family Medicine Physician
  • Bayamon, PR
National Provider Identifier
1831309541
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15665 Issued in PR
Practice address
103 Ave. Antonio Principe Plaza Pradera Edif.D Suite2
Urb.Fronteras de Bayamon
Bayamon, PR 00960-0000
Phone
(787) 998-1996
Fax
(787) 998-1996
NPI assigned
May 23, 2007
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15665 PR Primary

Addresses

Primary practice location

103 Ave. Antonio Principe Plaza Pradera Edif.D Suite2
Urb.Fronteras de Bayamon
Bayamon, PR 00960-0000

Mailing address

PO Box 1513
Sabana Seca, PR 00952-1513
Phone (787) 587-2216

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
I20081112000697 PR Practitioner - Family Practice 9436218989 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

103 Calle Antonio Principe
Bayamon, PR 00961-3200
Phone (939) 998-1996

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1831309541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1513",
            "city": "SABANA SECA",
            "state": "PR",
            "postal_code": "009521513",
            "telephone_number": "787-587-2216",
            "fax_number": "787-998-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 AVE. ANTONIO PRINCIPE PLAZA PRADERA EDIF.D SUITE2",
            "address_2": "URB.FRONTERAS DE BAYAMON",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600000",
            "telephone_number": "787-998-1996",
            "fax_number": "787-998-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ MORAN",
        "first_name": "DAMARIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "15665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.