Active NPI
Luis A Diaz Secades, MD
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1104877588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME41209
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041585500 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME41209 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luis a. Diaz-Secades, MD, PA | Current | Accepting new patients | |
| Luis a. Diaz-Secades, MD, PA | Family Medicine | Current | Accepting new patients |
| Flagler Diagnostic Center Inc | Past | 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.
-
- Behavior Analyst
- Miami, FL
- NPI 1467148940
-
- Family Medicine Physician
- Miami, FL
- NPI 1790143972
-
- Radiology Clinic/Center
- Miami, FL
- NPI 1336229541
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Miami Lakes, FL
- NPI 1104099001
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.