Individual provider Active NPI

Luis A Diaz Secades, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1104877588
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME41209 Issued in FL
Practice address
11880 Bird Rd
Suite 210
Miami, FL 33175-3584
Phone
(305) 559-0211
Fax
(305) 559-0966
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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 ME41209 FL Primary

Addresses

Primary practice location

11880 Bird Rd
Suite 210
Miami, FL 33175-3584

Mailing address

11880 Bird Rd
Suite 210
Miami, FL 33175-3584
Phone (305) 559-0211

Other identifiers 1

IdentifierTypeStateIssuer
041585500MedicaidFL

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
I20060131000288 FL Practitioner - Internal Medicine 1557375466 Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11880 Bird Rd
Miami, FL 33175-3574
Phone (305) 559-0211

Hospital & facility affiliations

  • J & C Sweet Home Care LLC Home health agency, Miami Lakes, FL, CCN 109391

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME41209FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luis a. Diaz-Secades, MD, PA CurrentSince Apr 23, 2023 Accepting new patients
Luis a. Diaz-Secades, MD, PA Family Medicine Current Accepting new patients
Flagler Diagnostic Center Inc PastSince Aug 22, 2010 Accepting new patients

Locations

11880 SW 40th St
Ste 210
Miami, FL 33175
Phone (305) 228-1770

Organizations & group practices 3

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 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1104877588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 BIRD RD",
            "address_2": "SUITE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753584",
            "telephone_number": "305-559-0211",
            "fax_number": "305-559-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 BIRD RD",
            "address_2": "SUITE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753584",
            "telephone_number": "305-559-0211",
            "fax_number": "305-559-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ SECADES",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME41209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041585500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.