Individual provider Active NPI

Porfirio Ernesto Diaz, MD

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1992727713
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6921 Issued in PR
Practice address
#1021 General del Valle Urb. Delicias
San Juan, PR 00924-3722
Phone
(787) 731-2123
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6921 PR Primary

Addresses

Primary practice location

#1021 General del Valle Urb. Delicias
San Juan, PR 00924-3722

Mailing address

#1021 General del Valle Urb. Delicias
San Juan, PR 00924-3722
Phone (787) 731-2123

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
I20130925000327 PR Practitioner - Cardiovascular Disease (Cardiology) 6608010061 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1021 Calle Gen del Valle
San Juan, PR 00924-3722
Phone (787) 751-0480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6921PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Porfirio Diaz Torres LLC Cardiovascular Disease CurrentSince May 17, 2023 Accepting new patients

Locations

1021 Calle Gen del Valle
San Juan, PR 00924
Phone (787) 632-7133

Interoperability endpoints

  • Direct secure messaging: pdiaztorres@1341.securemail.prognocis.com

Organizations & group practices 1

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992727713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#1021 GENERAL DEL VALLE URB. DELICIAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243722",
            "telephone_number": "787-731-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1021 GENERAL DEL VALLE URB. DELICIAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243722",
            "telephone_number": "787-731-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "PORFIRIO",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "6921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.