Active NPI
Massiel Alexandra Santos Diaz, ARNP
- Nurse Practitioner
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11010165
- Practice address
- 1474 W Granada Blvd Ste 455
Ormond Beach, FL 32174-8240 - Phone
- (386) 231-4685
- Fax
- (386) 231-4687
- NPI assigned
- Nov 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11010165 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | AP61173621 | WA |
Addresses
Primary practice location
1474 W Granada Blvd Ste 455
Ormond Beach, FL 32174-8240
Mailing address
PO Box 3007
Seattle, WA 98114-3007
Phone (206) 788-3700
Other practice location 1
720 8th Ave S
Seattle, WA 98104-3032
Phone (206) 788-3700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1474 W Granada Blvd
Suite 455
Ormond Beach, FL 32174-8240
Phone (386) 231-4685
661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040
Hospital & facility affiliations
- Adventhealth Daytona Beach
- AdventHealth Palm Coast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11010165 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conviva Medical Center Management LLC | Current | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Family | Current | Accepting new patients |
| Metcare of Florida, Inc | Current | Accepting new patients | |
| Img Medical Group de PA | Past | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
4960 SW 72nd Ave
Ste 406
Miami, FL 33155
3691 Clyde Morris Blvd
Port Orange, FL 32129
Phone (386) 675-4410
4090 S Ridgewood Ave
Pt Orange, FL 32127
Phone (386) 280-7251
Interoperability endpoints
- massiel.santos.diaz.1@29601.direct.athenahealth.com
- msantosdiaz591920@direct.multicare.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
-
- Internal Medicine Physician
- Port Orange, FL
- NPI 1619433869
-
- Sports Medicine (Family Medicine) Physician
- Boynton Beach, FL
- NPI 1720708589
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767139200000",
"number": "1063014165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3007",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981143007",
"telephone_number": "206-788-3700",
"fax_number": "206-962-3298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1474 W GRANADA BLVD STE 455",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748240",
"telephone_number": "386-231-4685",
"fax_number": "386-231-4687"
}
],
"practiceLocations": [
{
"address_1": "720 8th Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981043032",
"country_code": "US",
"telephone_number": "206-788-3700",
"fax_number": "206-962-3298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTOS DIAZ",
"first_name": "MASSIEL",
"middle_name": "ALEXANDRA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-12",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11010165",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61173621",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.