Eileen Diaz Cabrera
Individual provider Active NPI General Practice Physician · Juncos, PR
NPI 1902801822 · NPPES record last updated Jan 16, 2013
Key facts
- NPI
- 1902801822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 15712 (PR)
- Practice address
- 33 Calle Munoz Rivera
Urb Madrid
Juncos, PR 00777-3116 - Phone
- (787) 713-6801
- Fax
- (787) 734-4129
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
33 Calle Munoz Rivera
Juncos, PR 00777-3116
Phone (787) 713-6801
Ave Aa H16 Urb Cuidad Universitaria
Oficina Medica Cuidad Universitaria
Trujillo Alto, PR 00976
Phone (787) 755-5515
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050201000738 | PR | Practitioner - General Practice | 3274584818 | Practice locations: Juncos, PR; Trujillo Alto, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15712 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ciudad Universitaria Medical, C.S.P. | General Practice | Past | Accepting new patients |
| Cardio and Vascular Unlimited Services C.S.P | Past | Accepting new patients | |
| Cardiologia Medica Integrada, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15712 | PR | Yes |
Addresses
Primary practice location
33 Calle Munoz Rivera
Urb Madrid
Juncos, PR 00777-3116
Mailing address
PO Box 3185
Carolina, PR 00984-3185
Phone (787) 713-6801
Other providers in Juncos, PR
- Pilar Paola De Jesus Gutierrez
- Jose Rafael De la Torre
- Marisol De Leon
- Viviana Del Valle
- Eishley Ann Delgado
- Mildred S Diaz Cruz
- Manuel Diaz-Santiago
- Amarilis Diaz
- Damarith Diaz
- Idamis Beatriz Diaz
All providers in Juncos, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.