Active NPI
Myrdalis Diaz-Ramirez, MD
- Integrative Medicine Physician
- Sarasota, FL
National Provider Identifier
1033215546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- License
- ME96703
- Practice address
- 1958 Prospect St
Sarasota, FL 34239-2217 - Phone
- (941) 557-7242
- Fax
- (941) 557-7241
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME96703 | FL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME96703 | FL | |
| Integrative Medicine Physician | 202D00000X | ME96703 | FL | Primary |
| Pain Medicine Physician | 208VP0000X | ME96703 | FL |
Addresses
Primary practice location
1958 Prospect St
Sarasota, FL 34239-2217
Mailing address
3230 Southgate Cir Ste 139
Sarasota, FL 34239-5514
Phone (941) 557-7242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262271800 | Medicaid | FL |
Other names 1
- Dr. Myrdalis Diaz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME96703 | FL | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarasota Pain Associates PA | Multi-Specialty | Past | Accepting new patients |
Interoperability endpoints
- myrdalis.diazramirez.p2@direct.painreliefcenters.nextgenshare.com
- https://api.platform.athenahealth.com/7989/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1033215546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 SOUTHGATE CIR STE 139",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342395514",
"telephone_number": "941-557-7242",
"fax_number": "941-557-7242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1958 PROSPECT ST",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392217",
"telephone_number": "941-557-7242",
"fax_number": "941-557-7241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ-RAMIREZ",
"first_name": "MYRDALIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME96703",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME96703",
"primary": false
},
{
"code": "202D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": "FL",
"license": "ME96703",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME96703",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262271800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MYRDALIS",
"last_name": "DIAZ",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.