Jorge L. Diaz D.O P.a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS7912 Issued in FL

Legal business name

JORGE L. DIAZ D.O P.A

Practice address

7100 W 20TH Ave Ste 401
Hialeah, FL 33016-1811

Phone

(305) 821-6112

Fax

(305) 821-6112

NPI assigned

Mar 13, 2015

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jorge L Diaz, D.O.NPI 1346279809

Title

Doctor

Phone

(305) 821-6112

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jorge L Diaz DO2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jorge L. Diaz D.O P.a

  • Clinic/Center
  • Hialeah, FL
  • NPI 1598518128
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge Luis Diaz, D.O.

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1346279809
  NPD Authorized official

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1053704171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 401",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161811",
            "telephone_number": "305-821-6112",
            "fax_number": "305-821-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 401",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161811",
            "telephone_number": "305-821-6112",
            "fax_number": "305-821-6112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 W 20th Ave Ste 403",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330161811",
            "country_code": "US",
            "telephone_number": "305-821-6112",
            "fax_number": "305-821-9050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7100 W 20th Ave Ste 403",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330161811",
            "country_code": "US",
            "telephone_number": "305-821-6112",
            "fax_number": "305-821-9050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JORGE L. DIAZ D.O P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "305-821-6112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019928600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge E Ravelo MD PA
• Jorge L Alsina MD PA (Family First Pediatric Care)
• Jorge L Cardenas-Zito MD PA
• Jorge L. Barbeito M.D. P.a.
• Jorge L. Cabrera, M.D., P.a.
• Jorge L. Diaz D.O P.a
• Jorge L. Sosa, M.D., P.a.
• Yissel Jorge Puig
• Yanisleidy Jorge Rengifo
• Annette Jorge

• Internal Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.