Individual provider Active NPI

Raquel Correa Lima Diaz, CRNA

  • Certified Registered Nurse Anesthetist
  • Miami, FL
National Provider Identifier
1114454246
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9242687 Issued in FL
Practice address
3641 S Miami Ave
Miami, FL 33133-4204
Phone
(305) 854-3636
NPI assigned
May 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN9242687 FL Primary
Registered Nurse 163W00000X RN9242687 FL

Addresses

Primary practice location

3641 S Miami Ave
Miami, FL 33133-4204

Mailing address

9905 SW 117TH PL
Miami, FL 33186-2783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171220000907 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264790211 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9242687FLMDRegistered Nurse
APRN9242687FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 10, 2022 Accepting new patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 10, 2022 Accepting new patients

Locations

7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939

515 W State Road 434
Ste 105
Longwood, FL 32750
Phone (407) 260-6000

9415 SW 72nd St
Ste 274
Miami, FL 33173
Phone (305) 468-4184

7875 SW 104th St
Ste 201
Miami, FL 33156
Phone (305) 270-7572

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

7500 SW 87th Ave
Ste 101
Miami, FL 33173
Phone (305) 595-9511

Organizations & group practices 2

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": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1114454246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 SW 117TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334204",
            "telephone_number": "305-854-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA LIMA DIAZ",
        "first_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9242687",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9242687",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.