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DR. BRUNY VANESSA DIAZ MORENO M.D
NPI 1477761575
Internal Medicine in San Juan, PR

Active since May 20, 2007PECOS EnrolledAccepts Medicare Assignment
407B FERNANDO MONTILLA, SUITE 2, SAN JUAN, PR 00918(787) 314-7450(787) 294-9921 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Bruny Vanessa Diaz Moreno M.d NPPES

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

DR. BRUNY VANESSA DIAZ MORENO M.D (NPI 1477761575) is an individual internal medicine provider in San Juan, Puerto Rico, licensed in Puerto Rico (14561) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1477761575
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. BRUNY VANESSA DIAZ MORENOCredential: M.D
Location Address407B FERNANDO MONTILLA, SUITE 2San Juan, PR 00918
Mailing Address407b Fernando Montilla, Suite 2San Juan, PR 00918 · (787) 314-7450 · Fax (787) 294-9921
Phone(787) 314-7450
Fax(787) 294-9921
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateMay 20, 2007
Last NPPES UpdateMay 26, 2016
✔ NPI 1477761575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PR · 14561
Definition
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.
407B FERNANDO MONTILLA, San Juan, PR 00918
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Other Identifiers 1

Other14561PR · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bruny Vanessa Diaz Moreno M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022155381
PECOS Enrollment IDI20091020000274
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.

Medicare Billing Reassignment

Medicare enrollment records show Bruny Diaz Moreno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pro-Health Clinical Services LLC
5.8 mi
Endocrinology, Diabetes & Metabolism
CALLE MANUEL ROSSY ESQUINA ISABEL SEGUNDA, BAYAMON HEALTH CENTER
Bayamon, PR 00961
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 37 clinicians in this Medicare group
NPI 1881003382 (787) 451-1363

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00918 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
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 Bruny Diaz Moreno's NPI number?

The NPI number for Bruny Diaz Moreno is 1477761575. It was assigned to this individual provider in the NPPES registry on May 20, 2007.

Where is Bruny Diaz Moreno located?

Bruny Diaz Moreno practices at 407B Fernando Montilla Suite 2, San Juan, PR 00918. The listed phone number is (787) 314-7450.

What is Bruny Diaz Moreno's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bruny Diaz Moreno enrolled in Medicare?

Yes. Bruny Diaz Moreno is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bruny Diaz Moreno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bruny Diaz Moreno reassigns Medicare benefits to Pro-Health Clinical Services LLC (Bayamon, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bruny Diaz Moreno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bruny Diaz Moreno was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.