Active NPI
Keyla Diaz - Medina, M.D.
- General Practice Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1152
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidewell Sanitas I, LLC | Current | Accepting new patients | |
| Best Value Healthcare LLC | Current | Accepting new patients | |
| Medikus,LLC | Current | Accepting new patients | |
| Optimum Health Care | Past | Accepting new patients | |
| Best Value Healthcare LLC | Past | 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.
-
- Primary Care Clinic/Center
- Barceloneta, PR
- NPI 1801452834
-
- Internal Medicine Physician
- North Fort Myers, FL
- NPI 1619542446
-
- Health Service Clinic/Center
- Caguas, PR
- NPI 1407187198
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.