Organization Active NPI

Gerardo Diaz, Mdpa

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1003676750
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GERARDO DIAZ, MDPA
Practice address
2664 Tamiami TRL E
Naples, FL 34112-5707
Phone
(239) 428-1010
Fax
(239) 785-1752
NPI assigned
Mar 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gerardo Diaz, MD
Title
Owner
Phone
(305) 978-6309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2664 Tamiami TRL E
Naples, FL 34112-5707

Mailing address

2664 Tamiami TRL E
Naples, FL 34112-5707
Phone (239) 428-1010

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1003676750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341125707",
            "telephone_number": "239-428-1010",
            "fax_number": "239-785-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341125707",
            "telephone_number": "239-428-1010",
            "fax_number": "239-785-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARDO DIAZ, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-978-6309",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.