Pedro E Diaz Ortiz (NPI# 1124124466, PAC ID# 9436224581) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1124124466 |
PAC ID by PECOS | 9436224581 |
Professional Enrollment ID | I20080825000224 |
Full Name | Pedro E Diaz Ortiz |
Organization Legal Name | DE JESUS AND MATOS MEDICAL IMAGING PROFESSIONALS PSC |
Address |
550 Calle Concepcion Vera Ayala Carr 110 Km 2 Hospital San Carlos Borromeo Moca PR 00676-4139 |
Phone Number | 7877858034 |
Gender | M |
Medical School | PONCE SCHOOL OF MEDICINE |
Graduation Year | 2001 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Group Practice PAC ID | 7012197403 |
Number of Group Practice Members | 8 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
400044 | SAN LUKE'S MEMORIAL HOSPITAL INC |
400111 | HOSPITAL SAN CARLOS BORROMEO |
Address | Phone | Organization |
---|---|---|
550 Calle Concepcion Vera Ayala Carr 110 Km, 2 Hospital San Carlos Borromeo, Moca, PR 00676-4139 | 7877858034 | DE JESUS AND MATOS MEDICAL IMAGING PROFESSIONALS PSC |
917 Ave Tito Castro, Ponce, PR 00716-4717 | 7877858034 | DE JESUS AND MATOS MEDICAL IMAGING PROFESSIONALS PSC |
Arterial Hostos Esq 249 Ave Chardon, Primer Nivel Edif Hector N Acevedo, San Juan, PR 00918 | 7877011180 | DEMADI PSC |
Organization Legal Name | DE JESUS AND MATOS MEDICAL IMAGING PROFESSIONALS PSC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jaime Abesada-aguet | Diagnostic Radiology | De Jesus and Matos Medical Imaging Professionals Psc | 550 Calle Concepcion Vera Ayala Carr 110 Km, 2 Hospital San Carlos Borromeo, Moca, PR 00676-4139 |
Evelisa Martinez | Diagnostic Radiology | De Jesus and Matos Medical Imaging Professionals Psc | 550 Calle Concepcion Vera Ayala Carr 110 Km, 2 Hospital San Carlos Borromeo, Moca, PR 00676-4139 |
Ricardo De Jesus Gomez | Diagnostic Radiology | De Jesus and Matos Medical Imaging Professionals Psc | 550 Calle Concepcion Vera Ayala Carr 110 Km, 2 Hospital San Carlos Borromeo, Moca, PR 00676-4139 |
Carlos R Mendez Buso | Diagnostic Radiology | De Jesus and Matos Medical Imaging Professionals Psc | 550 Calle Concepcion Vera Ayala Carr 110 Km, 2 Hospital San Carlos Borromeo, Moca, PR 00676-4139 |
Street Address |
550 CALLE CONCEPCION VERA AYALA CARR 110 KM 2 HOSPITAL SAN CARLOS BORROMEO |
City | MOCA |
State | PR |
Zip | 00676-4139 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jaime Abesada-aguet | Diagnostic Radiology | De Jesus and Matos Medical Imaging Professionals Psc | 550 Calle Concepcion Vera Ayala Carr 110 Km, 2 Hospital San Carlos Borromeo, Moca, PR 00676-4139 |
Evelisa Martinez | Diagnostic Radiology | De Jesus and Matos Medical Imaging Professionals Psc | 550 Calle Concepcion Vera Ayala Carr 110 Km, 2 Hospital San Carlos Borromeo, Moca, PR 00676-4139 |
Ricardo De Jesus Gomez | Diagnostic Radiology | De Jesus and Matos Medical Imaging Professionals Psc | 550 Calle Concepcion Vera Ayala Carr 110 Km, 2 Hospital San Carlos Borromeo, Moca, PR 00676-4139 |
Carlos R Mendez Buso | Diagnostic Radiology | De Jesus and Matos Medical Imaging Professionals Psc | 550 Calle Concepcion Vera Ayala Carr 110 Km, 2 Hospital San Carlos Borromeo, Moca, PR 00676-4139 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maribel Guzman-arocho | Clinical Psychologist | Street 110 Km 14, Moca, PR 00676 | |
Karines Rivera Marrero | Anesthesiology | 550 Ave Concepcion Vera Ayala, Moca, PR 00676 | |
Lourdes Mercado | General Practice | 154 Calle Barbosa, Moca, PR 00676 | |
Tatiana M Fournier Sanchez | Obstetrics/gynecology | Carr 110 Km, Suite 8, Moca, PR 00676 | |
Simon Colon Ramos | General Practice | 59 Chemary, Moca, PR 00676 | |
Cristian S. Colon-rivera | Family Practice | 59 Don Chemary, Moca, PR 00676 | |
Jose E Rodriguez Rosa | General Practice | Calle Pedros Santos, Suite 65, Moca, PR 00676 | |
Jorge Vera Quinonez | Family Medicine | 3 0 Carr 111 Int Km, Moca, PR 00676 | |
Elwin J Trabal Martinez | General Practice | Carretera 420 Km 4, Moca, PR 00676 | |
Zaida Roman Vargas | General Practice | 0 1 Carr 422 Km, Moca, PR 00676 | |
Find all physicians in zip 00676 |
City | MOCA |
Zip Code | 00676 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | MOCA + DIAGNOSTIC RADIOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.