Individual provider Active NPI

Keyla Diaz - Medina, M.D.

  • General Practice Physician
  • Fort Lauderdale, FL
National Provider Identifier
1124221593
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1152 Issued in FL
Practice address
3601 W Commercial Blvd Ste 20
Fort Lauderdale, FL 33309-3334
Phone
(954) 368-4560
NPI assigned
Jun 6, 2007
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1152 FL Primary
General Practice Physician 208D00000X 14586 PR

Addresses

Primary practice location

3601 W Commercial Blvd Ste 20
Fort Lauderdale, FL 33309-3334

Mailing address

PO Box 25487
Sarasota, FL 34277-2487
Phone (941) 216-0072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140708002454 PR Practitioner - General Practice 6103041041 Practice locations: Barceloneta, PR; Caguas, PR
I20210518002346 FL Practitioner - General Practice 6103041041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Value Healthcare LLCGroup PAC ID 2668772419, 56 clinicians

Practice addresses (Care Compare)

3601 W Commercial Blvd
Suite 20
Fort Lauderdale, FL 33309-3334
Phone (954) 368-4560

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC CurrentSince Dec 1, 2023 Accepting new patients
Best Value Healthcare LLC CurrentSince Nov 10, 2025 Accepting new patients
Medikus,LLC Current Accepting new patients
Optimum Health Care Past Accepting new patients
Best Value Healthcare LLC PastSince Jun 22, 2021 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

3601 W Commercial Blvd
Ste 20
Ft Lauderdale, FL 33309
Phone (954) 368-4560

525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399

180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855

1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1124221593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-216-0072",
            "fax_number": "877-807-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD STE 20",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093334",
            "telephone_number": "954-368-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ - MEDINA",
        "first_name": "KEYLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1152",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.