Individual provider Active NPI

Rachel Fernandez Diaz, PA-C

  • Physician Assistant
  • Miami Beach, FL
National Provider Identifier
1013617737
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9117172 Issued in FL
Practice address
4302 Alton Rd Ste 810
Miami Beach, FL 33140-2893
Phone
(305) 674-2950
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9117172 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 810
Miami Beach, FL 33140-2893

Mailing address

4302 Alton Rd Ste 810
Miami Beach, FL 33140-2893
Phone (305) 674-2950

Other names 1

  • Rachel Fernandez Diaz Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RAC19565@cerner.directbaptisthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213003785 FL Practitioner - Physician Assistant 5193169589 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Florida International Univ, College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians

Practice addresses (Care Compare)

6200 Sunset Dr
Suite 604
South Miami, FL 33143-4831
Phone (786) 662-8928

6200 SW 72 St
Suite 602
South Miami, FL 33143-4831
Phone (786) 662-0600

6200 SW 72ND St Mci Benign Urology
Suite 601
South Miami, FL 33143-4831
Phone (786) 596-2000

8900 N Kendall Dr
Miami, FL 33176-2118

Hospital & facility affiliations

  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9117172FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: rac19565@cerner.directbaptisthealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1013617737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 810",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402893",
            "telephone_number": "305-674-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 810",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402893",
            "telephone_number": "305-674-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ DIAZ",
        "first_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9117172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RAC19565@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "4302 Alton Rd Ste 810",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "FERNANDEZ DIAZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.