DR. ANTONIO LUIS DIAZ HERNANDEZ MD NPI 1003016775
Internal Medicine - Nephrology in San Juan, PR
About DR. ANTONIO LUIS DIAZ HERNANDEZ MD
Antonio Diaz Hernandez is an internist established in San Juan, Puerto Rico and his medical specialization is Internal Medicine with a focus in nephrology with more than 18 years of experience. He graduated from Ponce School Of Medicine in 2005. The NPI number of this provider is 1003016775 and was assigned on July 2007. The practitioner's primary taxonomy code is 207RN0300X with license number 17173 (PR). The provider is registered as an individual and his NPI record was last updated one year ago.
|Provider Name||DR. ANTONIO LUIS DIAZ HERNANDEZ MD|
|Location Address||1492 AVE LA CONSTITUCION SUITE 717 EDIFICIO CENTRO EUROPA SAN JUAN, PR 00907|
|Location Phone||(787) 723-5017|
|Mailing Address||LA SIERRA DEL RIO 300 AVE LA SIERRA BOX 23 SAN JUAN, PR 00926|
|NPI Entity Type||Individual|
|Medical School Name||PONCE SCHOOL OF MEDICINE|
|Is Sole Proprietor?||Yes|
|Last Update Date||10-26-2022|
An internist like Antonio Diaz Hernandez is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Antonio Diaz Hernandez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Antonio Diaz Hernandez is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Hospital Pavia Santurce.
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
|Type||Allopathic & Osteopathic Physicians|
|Taxonomy Description||An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.|
1492 AVE LA CONSTITUCION SUITE 717
EDIFICIO CENTRO EUROPA
SAN JUAN, PR
Phone: (787) 723-5017
LA SIERRA DEL RIO
300 AVE LA SIERRA BOX 23
SAN JUAN, PR
Phone: (787) 240-9909
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
|Registered in PECOS?||Yes|
|PECOS PAC ID||7113050956|
|PECOS Enrollment ID||I20100730000851|
|Accepts Medicare Assignment?|| Yes "What does it mean "accepts medicare assignment"?|
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
|Eligible order / refer Part B Clinical Laboratory and Imaging||Yes|
|Eligible order / refer Durable Medical Equipment||Yes|
|Eligible order / refer Home Health Agency (HHA)||Yes|
|Eligible order / refer Power Mobility Devices||Yes|
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 253Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
- 131Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)
- 88Hemodialysis procedure with one physician evaluation (HCPCS:90935)
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Antonio Diaz Hernandez is affiliated with the following medical facilities:
|Hospital Name||Address||Phone||Hospital Type||CMS Certification Number (CCN)||Overall Rating|
|HOSPITAL PAVIA SANTURCE||CALLE PROFESOR AUGUSTO RODRIGUEZ #1462|
FERNANDEZ JUNCOS, PR 910
|(787) 641-1616||Acute Care Hospitals||400019|
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
|No.||Taxonomy Code||Type||Classification||Specialization||License No.||State||Primary|
|1||207R00000X||Allopathic & Osteopathic Physicians||Internal Medicine||26095||PR||No|
Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
|Start with the original NPI number, the last digit is the check digit and is not used in the calculation.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.|
|2 + 0 + 0 + 3 + 0 + 1 + 1 + 2 + 7 + 1 + 4 + 24 = 45|
|Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.|
|50 - 45 = 5||5|
The NPI number 1003016775 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
What is Dr. Antonio Diaz Hernandez MD NPI number?
The NPI number assigned to this healthcare provider is 1003016775, registered as an "individual" on July 20, 2007
Where is Dr. Antonio Diaz Hernandez MD located?
The provider is located at 1492 Ave La Constitucion Suite 717 Edificio Centro Europa San Juan, Pr 00907 and the phone number is (787) 723-5017
Which is Dr. Antonio Diaz Hernandez MD specialty?
The provider's speciality is Internal Medicine with a focus in Nephrology
How many years of experience does Dr. Antonio Diaz Hernandez MD have?
The provider has more than 18 years of experience. He graduated from Ponce School Of Medicine in 2005.
Is Dr. Antonio Diaz Hernandez MD registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are some of the services provided by Dr. Antonio Diaz Hernandez MD?
The most common procedures or services performed by this practitioner are: Dialysis services (2-3 physician visits per month), patient 20 years of age and older, Dialysis services (1 physician visit per month), patient 20 years of age and older and Hemodialysis procedure with one physician evaluation.
Is Dr. Antonio Diaz Hernandez MD affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: HOSPITAL PAVIA SANTURCE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Dr. Antonio Diaz Hernandez MD was last updated on July 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.