Active NPIIndividual provider

Dr. Emmanuel J Amundaray Diaz, DMD

Dentist in San Juan, Puerto Rico

NPI Number1659728061
Practice location
735 Ave Ponce De Leon Ste 510, San Juan, PR 00917-5027
Fax
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Last updated
February 28, 2023

Emmanuel Jose Amundaray Diaz is a Dentist based in San Juan, PR. Emmanuel Jose Amundaray Diaz practices in San Juan, PR and has the professional credentials of DMD. The NPI Number for Emmanuel Jose Amundaray Diaz is 1659728061 and holds a License No. 060843 (NY). The current practice location address for Emmanuel Jose Amundaray Diaz is 735 Ave Ponce De Leon Ste 510, San Juan, PR 00917-5027 and can be reached out via phone at 787-250-5055.

Provider Profile Details

NPI Number
1659728061
Provider Name
Emmanuel Jose Amundaray Diaz
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
735 Ave Ponce De Leon Ste 510, San Juan, PR 00917-5027
Phone Number
787-250-5055
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
May 16, 2016
Last Update Date
February 28, 2023
Certification Date
February 27, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
735 Ave Ponce De Leon Ste 510
San Juan, PR 00917-5027
Zip
00917-5027
Phone Number
787-250-5055
San Juan, PR 00917Get directions →

Provider Business Mailing Address Details

Address
12 Albolote Avenue
Condo. Chalets Del Parque, Apt 2A3 Mailbox #136
Guaynabo, PR 00969
City
Guaynabo
State
PR
Zip
00969
Phone Number
787-565-5272

License Information

License Number (1)
060843
License State (1)
NY
Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (2)
3420
License State (2)
PR
Taxonomy (2)
Dentist · 122300000X · Primary
License Number (3)
30025184
License State (3)
OH
Taxonomy (3)
Dentist · 122300000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Emmanuel J Amundaray Diaz, DMD?

The NPI number of Dr. Emmanuel J Amundaray Diaz, DMD is 1659728061. It was assigned on May 16, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Emmanuel J Amundaray Diaz, DMD?

Dr. Emmanuel J Amundaray Diaz, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 060843.

Where does Dr. Emmanuel J Amundaray Diaz, DMD practice?

The practice location is 735 Ave Ponce De Leon Ste 510, San Juan, PR 00917-5027. The office can be reached at 787-250-5055 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659728061 directly on the NPPES registry website.

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