Active NPI
Raul Diaz Pineiro
- Medical Technologist
- San Juan, PR
National Provider Identifier
1952571598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 455
- Practice address
- Ave J T Pinero 265 Hyde Park
San Juan, PR 00927 - Phone
- (787) 758-0120
- Fax
- (787) 250-5123
- NPI assigned
- Mar 11, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 455 | PR | Primary |
| Clinical Medical Laboratory | 291U00000X | PR |
Addresses
Primary practice location
Ave J T Pinero 265 Hyde Park
San Juan, PR 00927
Mailing address
PO Box 22321
Upr Station
San Juan, PR 00931-2321
Phone (787) 758-0120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 455 | PR | MD | Occupational Therapist |
| 617 | PR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1952571598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22321",
"address_2": "UPR STATION",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009312321",
"telephone_number": "787-758-0120",
"fax_number": "787-250-8123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE J T PINERO 265 HYDE PARK",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-758-0120",
"fax_number": "787-250-5123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ PINEIRO",
"first_name": "RAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-11",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "PR",
"license": "455",
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.