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DR. EMMANUEL JOSE AMUNDARAY DIAZ DMD
NPI 1659728061
Dentist in San Juan, PR

Active since May 16, 2016PECOS Enrolled
735 AVE PONCE DE LEON STE 510, SAN JUAN, PR 00917(787) 250-5055 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2023, May 19, 2021, Jul 7, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Emmanuel Jose Amundaray Diaz Dmd NPPES

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

DR. EMMANUEL JOSE AMUNDARAY DIAZ DMD (NPI 1659728061) is an individual dentist in San Juan, Puerto Rico, licensed in Puerto Rico (3420) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1659728061
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. EMMANUEL JOSE AMUNDARAY DIAZCredential: DMD
Location Address735 AVE PONCE DE LEON STE 510San Juan, PR 00917-5027
Mailing Address12 Albolote Avenue, Condo. Chalets Del Parque, Apt 2a3 Mailbox #136Guaynabo, PR 00969 · (787) 565-5272
Phone(787) 250-5055
Sole ProprietorNo
Enumeration DateMay 16, 2016
Last NPPES UpdateFebruary 28, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1659728061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in PR · 3420✔ Licensed in OH · 30025184
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 060843 (NY)

Secondary Practice Locations 7

Location 12 Coulter Rd Ste 1720Clifton Springs, NY 14432-1122 · Phone (315) 318-0991 · Fax (315) 462-3335
Location 22060 Fairport Nine Mile Point RdPenfield, NY 14526-1749 · Phone (585) 377-5810 · Fax (585) 377-1121
Location 3Calle 3, Centro Comercial Plaza RialCanovanas, PR 00729 · Phone (787) 250-5055
Location 41455 E Ridge RdRochester, NY 14621-2006 · Phone (585) 922-4103 · Fax (585) 922-4495
Location 51425 Portland AveRochester, NY 14621-3011 · Phone (585) 922-4103 · Fax (585) 922-4495
Location 62655 Ridgeway Ave Ste 360Rochester, NY 14626-4296 · Phone (585) 295-1890 · Fax (585) 295-1898
Location 775 Genesee St Fl 2Rochester, NY 14611-3201 · Phone (585) 368-3800 · Fax (585) 368-3801

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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. Emmanuel Jose Amundaray Diaz Dmd 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 00917 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELA DE LA TORRE
Dentist
735 AVE PONCE DE LEON STE 510
SAN JUAN, PR 00917
San Juan Municipio (787) 753-5055
FABIOLA DELS SUR RAMIREZ
Dentist
735 AVE PONCE DE LEON STE 510
SAN JUAN, PR 00917
San Juan Municipio (787) 753-5055

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 Emmanuel Amundaray Diaz's NPI number?

The NPI number for Emmanuel Amundaray Diaz is 1659728061. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Emmanuel Amundaray Diaz located?

Emmanuel Amundaray Diaz practices at 735 Ave Ponce De Leon Ste 510, San Juan, PR 00917. The listed phone number is (787) 250-5055.

What is Emmanuel Amundaray Diaz's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Emmanuel Amundaray Diaz enrolled in Medicare?

Yes. Emmanuel Amundaray Diaz is registered in the Medicare PECOS enrollment system.

What insurance does Emmanuel Amundaray Diaz accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Emmanuel Amundaray Diaz 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 Emmanuel Amundaray Diaz was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.