Individual provider Active NPI

George C Diaz, MD

  • Neurology Physician
  • Miami, FL
National Provider Identifier
1083611677
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME0066992 Issued in FL
Practice address
2063 Biscayne Blvd FL 5
Miami, FL 33137
Phone
(305) 682-2900
Fax
(786) 753-6131
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME0066992 FL Primary

Addresses

Primary practice location

2063 Biscayne Blvd FL 5
Miami, FL 33137

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

20801 Biscayne Blvd Ste 501
Miami, FL 33180-1400
Phone (305) 682-2670

Other practice location 2

601 N Flamingo Rd Ste 206
Pembroke Pines, FL 33028-1009
Phone (954) 276-1474

Other practice location 3

1150 N 35th Ave Ste 590
Hollywood, FL 33021-5468
Phone (954) 276-1474

Other identifiers 11

IdentifierTypeStateIssuer
238332OtherFLAVMED
26252OtherFLBLUE CROSS BLUE SHIELD
400000450000OtherFLPREFERRED CARE PARTNERS
NNC106OtherFLWELLCARE/STAYWELL
30573OtherFLNHP
4243290OtherFLAETNA LIFE INS CO
7911330OtherFLGHI
3000011OtherFLCIGNA
F91226OtherFLVISTA
1024133OtherFLCARE PLUS
376445100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gdiaz173674@MHSDIRECT.NET Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000782 FL Practitioner - Neurology 1456496348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Miami, LM Miller School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

2063 Biscayne Blvd
Suite 501
Miami, FL 33137-5058
Phone (954) 265-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0066992FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District Neurology CurrentSince Jan 8, 2018 Accepting new patients
South Broward Hospital District CurrentSince Jan 8, 2018 Accepting new patients
Preferred Medical Plan Past Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

20801 Biscayne Blvd
Ste 200
Aventura, FL 33180
Phone (954) 265-3015

1150 N 35th Ave
Ste 590
Hollywood, FL 33021
Phone (954) 265-9500

2063 Biscayne Blvd
Ste 501
Miami, FL 33137
Phone (954) 265-7700

2063 Biscayne Blvd
Fl 5
Miami, FL 33137
Phone (305) 682-2900

4302 Alton Rd
Ste 330
Miami Beach, FL 33140
Phone (305) 532-2464

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

601 N Flamingo Rd
Ste 204
Pembroke Pines, FL 33028
Phone (954) 276-1474

601 N Flamingo Rd
Ste 206
Pembroke Pnes, FL 33028
Phone (954) 844-6825

Interoperability endpoints

  • Direct secure messaging: gdiaz173674@mhsdirect.net

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.

Hospital & facility affiliations 5

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1083611677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 BISCAYNE BLVD FL 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33137",
            "telephone_number": "305-682-2900",
            "fax_number": "786-753-6131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20801 Biscayne Blvd Ste 501",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331801400",
            "country_code": "US",
            "telephone_number": "305-682-2670",
            "fax_number": "305-792-5232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 N Flamingo Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281009",
            "country_code": "US",
            "telephone_number": "954-276-1474",
            "fax_number": "954-385-6026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 N 35th Ave Ste 590",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215468",
            "country_code": "US",
            "telephone_number": "954-276-1474",
            "fax_number": "954-265-1431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "GEORGE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0066992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "238332",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "26252",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE PARTNERS",
            "identifier": "400000450000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE/STAYWELL",
            "identifier": "NNC106",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "30573",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LIFE INS CO",
            "identifier": "4243290",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7911330",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3000011",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "F91226",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PLUS",
            "identifier": "1024133",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376445100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gdiaz173674@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2063 Biscayne Blvd Fl 5",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.