Individual provider Active NPI

Porfirio E. Diaz Romero, M.D.

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1942399126
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
12157 Issued in PR
Practice address
525 Ave FD Roosevelt
Torre de Plaza Suite 612
San Juan, PR 00918-8057
Phone
(787) 414-8294
Fax
(787) 957-6696
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 12157 PR Primary

Addresses

Primary practice location

525 Ave FD Roosevelt
Torre de Plaza Suite 612
San Juan, PR 00918-8057

Mailing address

Arboles de Montehiedra
462 Calle Bauhinia
San Juan, PR 00926-7162
Phone (787) 536-6710

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
I20120306000611 PR Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3678732054 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 Ave FD Roosevelt
San Juan, PR 00918-8001
Phone (787) 414-8294

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12157PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plaza Cardiovascular Clinic CSP Cardiovascular Disease Past Accepting new patients
Dr Porfirio Diaz Torres LLC Cardiovascular Disease PastSince Aug 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pdiazromero@1525.securemail.prognocis.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1942399126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ARBOLES DE MONTEHIEDRA",
            "address_2": "462 CALLE BAUHINIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267162",
            "telephone_number": "787-536-6710",
            "fax_number": "787-957-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT",
            "address_2": "TORRE DE PLAZA SUITE 612",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188057",
            "telephone_number": "787-414-8294",
            "fax_number": "787-957-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ ROMERO",
        "first_name": "PORFIRIO",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "12157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.