Individual provider Active NPI

Carlos E. Diaz, M.D.

  • Pediatric Pulmonology Physician
  • Miami, FL
National Provider Identifier
1083687917
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
ME0050223 Issued in FL
Practice address
8740 N Kendall Dr
Suite 105
Miami, FL 33176-2212
Phone
(305) 270-2080
Fax
(305) 270-2012
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X ME0050223 FL Primary

Addresses

Primary practice location

8740 N Kendall Dr
Suite 105
Miami, FL 33176-2212

Mailing address

8740 N Kendall Dr
Suite 105
Miami, FL 33176-2212
Phone (305) 270-2080

Other identifiers 1

IdentifierTypeStateIssuer
371110200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0050223FLMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos E.Diaz Pediatric Pulmonology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1083687917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8740 N KENDALL DR",
            "address_2": "SUITE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762212",
            "telephone_number": "305-270-2080",
            "fax_number": "305-270-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 N KENDALL DR",
            "address_2": "SUITE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762212",
            "telephone_number": "305-270-2080",
            "fax_number": "305-270-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CARLOS",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "FL",
            "license": "ME0050223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371110200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.