Federico Diez, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

14284 Issued in FL

Practice address

12600 Pembroke Rd
Suite 314
Miramar, FL 33027-2544

Phone

(954) 505-7631

Fax

(954) 505-7633

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Dentalmed Associates LLC

  • General Practice Dentistry
  • Boca Raton, FL
  • NPI 1528720257
  NPD Authorized official
• Dentalmed Associates, LLC

  • General Practice Dentistry
  • Miramar, FL
  • NPI 1124363676
  NPD Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1043392111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4581 WESTON RD # 321",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313141",
            "telephone_number": "305-725-3426",
            "fax_number": "954-517-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 PEMBROKE RD",
            "address_2": "SUITE 314",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272544",
            "telephone_number": "954-505-7631",
            "fax_number": "954-505-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEZ",
        "first_name": "FEDERICO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "14284",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 14284",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Diaz, RRT
• Nicole Dibella
• Christopher M Dickinson, M.D.
• Gisselle Dieguez, BEHAVIOR TECHNICIAN
• Lynda Dieubon
• Digestive Disease Consultants of South Florida LLC
• Andrew Craig Dilernia, M.D.
• Mahalia A Dinzey, MHC, MFT, CMHP
• Diverse Family Solutions, Inc.
• Diverse Home Care Services Inc

• Prosthodontics in Miramar, FL
• Providers in Miramar, FL by specialty
• Prosthodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.