Individual provider Active NPI

Carlos S Diaz Barcelo, M.D.

  • General Practice Physician
  • Wilton Manors, FL
National Provider Identifier
1164726667
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME158780 Issued in FL
Practice address
2219 Wilton Dr
Wilton Manors, FL 33305-2131
Phone
(954) 807-8916
NPI assigned
Dec 27, 2010
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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 ME158780 FL Primary
General Practice Physician 208D00000X 18116 PR

Addresses

Primary practice location

2219 Wilton Dr
Wilton Manors, FL 33305-2131

Mailing address

2219 Wilton Dr
Wilton Manors, FL 33305-2131
Phone (954) 807-8916

Other identifiers 1

IdentifierTypeStateIssuer
ME158780OtherFLFL MEDICAL LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915001881 FL Practitioner - General Practice 2860662160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN808FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Family Physicians, LLC General Practice PastSince Jan 5, 2025 Accepting new patients

Organizations & group practices 1

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": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1164726667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 WILTON DR",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333052131",
            "telephone_number": "954-807-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 WILTON DR",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333052131",
            "telephone_number": "954-807-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ BARCELO",
        "first_name": "CARLOS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-27",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME158780",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAL LICENSE",
            "identifier": "ME158780",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

Verify at the official NPI Registry.