Active NPI
Juan Gonzalez Diaz, MD
- Cardiovascular Disease Physician
- Canovanas, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 07130
- Practice address
- Local Aa 5 Loiza Valley Shopping Center
Loiza Valley
Canovanas, PR 00729 - Phone
- (787) 886-5506
- Fax
- (787) 876-4116
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 07130 | PR | Primary |
Addresses
Primary practice location
Local Aa 5 Loiza Valley Shopping Center
Loiza Valley
Canovanas, PR 00729
Mailing address
267 Calle Sierra Morena
PMB #330
San Juan, PR 00926-5539
Phone (787) 886-5506
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Puerto Rico School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
158 Calle Ramos Antonini E
Mayaguez, PR 00680-5044
Phone (787) 831-3130
550 Calle Sergio Cuevas Bustamante
San Juan, PR 00918-2683
Phone (787) 763-5560
Calle Cesar Gonzales 504 Hato Rey
San Juan, PR 00918
Phone (787) 221-8161
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07130 | PR | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Solution Corp | Current | Accepting new patients | |
| Alpha Medical Testing and Care, PSC | Current | Accepting new patients | |
| Asociacion de Maestros de P R | Current | Accepting new patients | |
| Prevention Diagnostics Center Inc | Current | Accepting new patients | |
| Advance Cardiovascular Studies, PSC | Current | Accepting new patients | |
| Ges de San Juan, Inc. | Past | Accepting new patients | |
| Cardiology Medical Group, Corp. | Past | Accepting new patients |
Locations
158 Calle Ramos Antonini E
Mayaguez, PR 00680
Phone (787) 831-3130
576 Paseo 1
San Juan, PR 00924
Phone (939) 223-1163
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Canovanas, PR
- NPI 1023163672
-
- Voluntary or Charitable Agency
- San Juan, PR
- NPI 1740437888
-
- Health Service Clinic/Center
- Canovanas, PR
- NPI 1063785590
-
- Prevention Professional
- San Juan, PR
- NPI 1194184721
-
- Clinic/Center
- Catano, PR
- NPI 1114799624
-
- Cardiovascular Specialist/Technologist
- Guaynabo, PR
- NPI 1376368605
-
- Specialist
- San Juan, PR
- NPI 1861838344
-
- Preferred Provider Organization
- San Juan, PR
- NPI 1669508156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301011200000",
"number": "1952391336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 CALLE SIERRA MORENA",
"address_2": "PMB #330",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265539",
"telephone_number": "787-886-5506",
"fax_number": "787-876-4116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LOCAL AA 5 LOIZA VALLEY SHOPPING CENTER",
"address_2": "LOIZA VALLEY",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-886-5506",
"fax_number": "787-876-4116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ DIAZ",
"first_name": "JUAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2011-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PR",
"license": "07130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canovanas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.