Jaime J Jackson Diaz, MD
Ophthalmology in San Juan, PR. Individual provider (NPI-1).
NPI number1285832030
StatusActive
Last updated in NPPESAug 19, 2010
Details
- NPI
- 1285832030
- Entity type
- Individual (NPI-1)
- Name
- Jaime J Jackson Diaz
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2007
- Last updated
- Aug 19, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPHTHALMOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 16730 | PR | Yes |
Practice location
Ave Jesus T Pinero #1250Capapra Terrace
San Juan, PR 00921
Phone 787-781-2565 · Fax 787-782-9524
Mailing address
Po Box 10431San Juan, PR 00922-0431
Phone 787-781-2565 · Fax 787-782-9524
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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