Tamara Lopez Diaz, MD. PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME127189 Issued in FL

Legal business name

TAMARA LOPEZ DIAZ, MD. PA

Practice address

12301 SE US Highway 441 Ste C
Belleview, FL 34420

Phone

(352) 327-8106

NPI assigned

Oct 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tamara Lopez Diaz, M.D.

Title

President

Phone

(786) 278-1337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1124579974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 SE US HIGHWAY 441 STE C",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344204578",
            "telephone_number": "352-327-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 SE US HIGHWAY 441 STE C",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "34420",
            "telephone_number": "352-327-8106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5095 Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123705",
            "country_code": "US",
            "telephone_number": "786-278-1337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5095 Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123705",
            "country_code": "US",
            "telephone_number": "786-278-1337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAMARA LOPEZ DIAZ, MD. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "LOPEZ DIAZ",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-278-1337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME127189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.