Brunilda Diaz

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1039 Issued in PR

Practice address

T18 Ave Ruiz Soler
Jardines de Caparra
Bayamon, PR 00959-7708

Phone

(787) 787-2621

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

No

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• GRP Ricardo Abella Beltran

  • Dentist
  • Bayamon, PR
  • NPI 1538375803
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912918525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363094",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "T18 AVE RUIZ SOLER",
            "address_2": "JARDINES DE CAPARRA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597708",
            "telephone_number": "787-787-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "BRUNILDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberto Luis Diaz-Sanchez, DMD,MS,MPH
• Erving Diaz-Torres, M.D.
• Manuel Angel Diaz-Vargas, MD
• Alejandro Diaz, R.PH
• Antonio M Diaz, MD
• Carlos Antonio Diaz, MD
• Carmen Diaz
• Carmen Delia Diaz, M.D.
• Daisyvette Diaz, TS
• Diego Jose Diaz, MD

• General Practice Dentistry in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.