MEDICARE: JOSE A. GAUDIER DIAZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	21679	PR
2	208000000X	Pediatrics Physician	21679	PR
3	208D00000X	General Practice Physician	21679	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	21679	OTHER	PR	JUNA DE LICENCIAMIENTO DE PUERTO RICO

General Provider Information

NPI Number	:	1730537689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE A. GAUDIER DIAZ M.D.

Provider Business Mailing Address
First Line	:	40A CALLE ORQUIDEA
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-3540
Country	:	US
Telephone Number	:	787-256-5659
Fax Number	:

Provider Business Practice Location Address
First Line	:	40A CALLE ORQUIDEA
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-3540
Country	:	US
Telephone Number	:	787-256-5659
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2016
Last Update Date	:	11/28/2022

Similar Medicare Providers

1134114705 — FERNANDO BORDET VILLA M.D
Practice Location Address:

41A CALLE ORQUIDEA
CANOVANAS, PR
00729-3540

Practice Phone: 787-256-5659
Practice Fax:

1639164262 — GRUPO MEDICO DEL NORESTE
Practice Location Address:

41A CALLE ORQUIDEA , LOIZA VALLEY
CANOVANAS, PR
00729-3540

Practice Phone: 787-256-5659
Practice Fax: 787-256-5659

1891642963 — JAN L BETANCOURT
Practice Location Address:

PO BOX 1183
CANOVANAS, PR
00729-1183

Practice Phone: 787-242-7214
Practice Fax:

1295560209 — HEALTH PRIMARY CARE CORP
Practice Location Address:

975 CALLE BAUHINIA
CANOVANAS, PR
00729-3410

Practice Phone: 939-716-0211
Practice Fax:

1285874057 — DR. VANESSA ESTHER ALVARADO GONZALEZ MD
Practice Location Address:

975 CALLE BAUHINIA
CANOVANAS, PR
00729-3410

Practice Phone: 939-716-0211
Practice Fax:

1730036393 — FABIOLA ALEJANDRA RUIZ DIAZ FNP-C
Practice Location Address:

PO BOX 1426
CANOVANAS, PR
00729-1426

Practice Phone: 939-891-9089
Practice Fax:

Directions to “ JOSE A. GAUDIER DIAZ M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.