Samuel Garau Diaz, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

5460 Issued in PR

Practice address

73 Calle Santa Cruz
Oficina 103
Bayamon, PR 00961-6910

Phone

(787) 786-4557

Fax

(787) 740-1399

NPI assigned

Jul 28, 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

Practice roles

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.

• Soc Rad Bayamon C T Center Corp

  • Diagnostic Radiology Physician
  • Bayamon, PR
  • NPI 1548377146
  Medicare reassignment NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1891709317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70152",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368152",
            "telephone_number": "787-786-4557",
            "fax_number": "787-740-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CALLE SANTA CRUZ",
            "address_2": "OFICINA 103",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616910",
            "telephone_number": "787-786-4557",
            "fax_number": "787-740-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAU DIAZ",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "5460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Jose Gallardo, MEDICAL DOCTOR
• Galope Anesthesia Services, PSC
• Cristal Nicole Gandara Aponte
• Astrid Noemi Gandarilla
• Alexis Garau Diaz
• Priscila Garau, M.D.
• Leidy Marie Garay Pagan
• Liz Marie Garces Ortiz, PHARM.D, RPH
• Fabiola Larane Garcia Adorno, MD
• Rosa De Lourdes Garcia Concepcion, PHARMD

• Diagnostic Radiology Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.