Individual provider Active NPI

Solanch Diaz Roig, PA-C

  • Physician Assistant
  • Brandon, FL
National Provider Identifier
1033745229
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116101 Issued in FL
Practice address
1721 Brandon Main St Ste C
Brandon, FL 33511-5018
Phone
(813) 973-1304
Fax
(813) 355-5024
NPI assigned
Mar 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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 PA9116101 FL Primary

Addresses

Primary practice location

1721 Brandon Main St Ste C
Brandon, FL 33511-5018

Mailing address

38135 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 973-1304

Other names 1

  • Solanch Diaz Other name

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
I20220712003009 FL Practitioner - Physician Assistant 2668852351 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohi West Medical Group II LLCGroup PAC ID 0648631192, 407 clinicians

Practice addresses (Care Compare)

1721 Brandon Main St
Brandon, FL 33511-5018

38101 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 715-0195

38103 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 778-0414

38105 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 815-5380

38107 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 979-0440

38135 Market Square Dr
Zephyrhills, FL 33542-7505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9116101FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Clinic LLC CurrentSince Aug 28, 2023 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Aug 28, 2023 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Jul 5, 2024 Accepting new patients
Gastro Health LLC CurrentSince Aug 29, 2022 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Jul 5, 2024 Accepting new patients
Gastro Health, LLC CurrentSince Aug 29, 2022 Accepting new patients
Gastro Health, LLC PastSince May 7, 2023 Accepting new patients

Locations

1721 Brandon Main St
Ste C
Brandon, FL 33511
Phone (813) 280-7100

3001 Coral Hills Dr
Ste 250
Coral Springs, FL 33065
Phone (954) 721-5400

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

710 Oak Commons Blvd
Ste 210
Kissimmee, FL 34741

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

Organizations & group practices 7

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": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1033745229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQUARE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-973-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 BRANDON MAIN ST STE C",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115018",
            "telephone_number": "813-973-1304",
            "fax_number": "813-355-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ ROIG",
        "first_name": "SOLANCH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOLANCH",
            "last_name": "DIAZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.