NPIMap

Individual provider Active NPI

Ileana Diaz

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1073179693
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34595 Issued in FL
Practice address
1280 W 54TH St Apt 201
Hialeah, FL 33012-9006
Phone
(786) 768-0009
NPI assigned
May 20, 2019
Last updated
May 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34595 FL Primary

Addresses

Primary practice location

1280 W 54TH St Apt 201
Hialeah, FL 33012-9006

Mailing address

1280 W 54TH St Apt 201
Hialeah, FL 33012-9006
Phone (786) 768-0009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lily.diaz44@yahoo.es

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221017002675 FL Practitioner - Internal MedicinePractitioner - Family Practice 2567838501 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Docs PCGroup PAC ID 0547626871, 181 clinicians

Practice addresses (Care Compare)

14001 NW 82ND Ave
Select Specialty Hospital
Miami Lakes, FL 33016-1561
Phone (786) 609-9200

651 E 25 St
Hialeah, FL 33013-3814
Phone (609) 585-1122

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34595FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Docs PC CurrentSince Jul 8, 2024 Accepting new patients
Diazgarcia Newlife Medihospitalgroup Inc Family Medicine CurrentSince Oct 5, 2023 Accepting new patients
Lifespan Medical Center LLC Family Medicine CurrentSince Dec 20, 2022 Accepting new patients
Heriberto Fernandez MD PA CurrentSince Jul 20, 2022 Accepting new patients
National Health Rehabilitation LLC Past Accepting new patients
QMC LLC PastSince Feb 1, 2021 Accepting new patients

Locations

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

777 E 25th St
Ste 509
Hialeah, FL 33013
Phone (305) 420-5016

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

2742 SW 8th St
Ste 11
Miami, FL 33135
Phone (786) 615-5819

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

14001 NW 82nd Ave
Miami Lakes, FL 33016
Phone (786) 609-9033

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1073179693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 W 54TH ST APT 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330129006",
            "telephone_number": "786-768-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 W 54TH ST APT 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330129006",
            "telephone_number": "786-768-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ILEANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "34595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lily.diaz44@yahoo.es",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1280 W 54th St Apt 201",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330129006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.