DR. DIEGO ALBERTO GALLARDO
NPI 1003104464
Dentist - Oral and Maxillofacial Surgery in Guaynabo, PR

Q: What is Diego Gallardo's NPI number?

The NPI number for Diego Gallardo is 1003104464. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Q: What is Diego Gallardo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Diego Gallardo was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2011PECOS Enrolled

SUITE 201, GUAYNABO RADIOLOGY & MEDICAL PLAZA, 10 AVE LAS CUMBRES, GUAYNABO, PR 00969(787) 233-7267 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2021, Aug 31, 2020, Jul 17, 2020 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Diego Alberto Gallardo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DIEGO ALBERTO GALLARDO (NPI 1003104464) is an individual oral and maxillofacial surgery provider in Guaynabo, Puerto Rico, licensed in Puerto Rico (3315) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003104464

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. DIEGO ALBERTO GALLARDO

Location AddressSUITE 201, GUAYNABO RADIOLOGY & MEDICAL PLAZA, 10 AVE LAS CUMBRESGuaynabo, PR 00969

Mailing AddressD2 Calle 2 Alt. De Sans SouciBayamon, PR 00957 · (787) 243-0269

Phone(787) 233-7267

Sole ProprietorYes

Enumeration DateJuly 19, 2011

Last NPPES UpdateSeptember 29, 20214 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2021

✔ NPI 1003104464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in PR · 3315✔ Licensed in VA · 0401415980

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Diego Alberto Gallardo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00969 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.07 typical visit price

range $56.86 – $172.44

Typical copayment $22.01 (range $14.21 – $43.11)

Most-billed visit code 99203

Established Patient

$70.88 typical visit price

range $18.24 – $140.44

Typical copayment $17.72 (range $4.56 – $35.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diego Gallardo's NPI number?

The NPI number for Diego Gallardo is 1003104464. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Where is Diego Gallardo located?

Diego Gallardo practices at Suite 201, Guaynabo Radiology & Medical Plaza 10 Ave Las Cumbres, Guaynabo, PR 00969. The listed phone number is (787) 233-7267.

What is Diego Gallardo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Diego Gallardo enrolled in Medicare?

Yes. Diego Gallardo is registered in the Medicare PECOS enrollment system.

What insurance does Diego Gallardo accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Diego Gallardo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diego Gallardo was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.