Jorge O. Diaz, MD PA

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

Legal business name

JORGE O. DIAZ, MD PA

Practice address

1825 Salk Ave
Tavares, FL 32778-4311

Phone

(407) 444-4848

Fax

(407) 444-4870

NPI assigned

Jul 20, 2021

Last updated

Nov 15, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

JORGE O. DIAZ, MD PAAs reported in NPPES

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

Authorized official

Name

Jorge O. Diaz, MDNPI 1487663373

Title

Authorized Official

Phone

(407) 444-4848

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jorge O Diaz MD PA3 organizations share this tax ID, including this one

Part of

Jorge O Diaz MD PA

Other organizations with this tax ID 2

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

• Jorge O Diaz MD PA

  • Clinical Cardiac Electrophysiology Physician
  • Lake Mary, FL
  • NPI 1396754172
  NPD tax ID
• Jorge O Diaz MD PA

  • Clinical Cardiac Electrophysiology Physician
  • Leesburg, FL
  • NPI 1740953926
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Jorge O Diaz MD PA

  • Clinical Cardiac Electrophysiology Physician
  • Lake Mary, FL
  • NPI 1396754172
  NPPES parent name

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 Orlando Diaz, MD

  • Clinical Cardiac Electrophysiology Physician
  • Lake Mary, FL
  • NPI 1487663373
  NPD (past) Authorized official

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1083287866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 SR 46 # 376",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719230",
            "telephone_number": "407-444-4848",
            "fax_number": "407-444-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 SALK AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784311",
            "telephone_number": "407-444-4848",
            "fax_number": "407-444-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE O. DIAZ, MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JORGE O. DIAZ, MD PA",
        "enumeration_date": "2021-07-20",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "407-444-4848",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015249701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Johnson Jr.
• Dione Jeannette Johnson, PT, DPT
• Ashley Jones
• Kasi Jones
• Nancy Sue Jordan
• Savita S Joseph
• Joyful Haven Care Services LLC
• Joyful Haven Supportive Services LLC
• Melinda Lillian Julmiste, APRN
• Andrea Marlene Junco, APRN, CPNP-PC

• Clinical Cardiac Electrophysiology Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Clinical Cardiac Electrophysiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.