Individual provider Active NPI

Juan Gonzalez Diaz, MD

  • Cardiovascular Disease Physician
  • Canovanas, PR
National Provider Identifier
1952391336
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
07130 Issued in PR
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

Updated by the provider on Mar 25, 2011

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000974 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2466421946 Reassigns benefits to 6 organizations
Practice locations: Canovanas, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asociacion de Maestros de P RGroup PAC ID 4082781679, 9 clinicians
Advance Cardiovascular Studies, PSCGroup PAC ID 5395781942, 2 clinicians

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

LicenseStateTypeSpecialty
07130PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Solution Corp CurrentSince Mar 1, 2018 Accepting new patients
Alpha Medical Testing and Care, PSC CurrentSince Apr 2, 2024 Accepting new patients
Asociacion de Maestros de P R CurrentSince Jul 1, 2006 Accepting new patients
Prevention Diagnostics Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Advance Cardiovascular Studies, PSC CurrentSince Dec 1, 2005 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.

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

Verify at the official NPI Registry.