Organization Active NPI

Jose M Diaz-Diaz

  • Health Service Clinic/Center
  • Lutz, FL
National Provider Identifier
1174071807
Registry record updated Sep 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME122262 Issued in FL
Legal business name
JOSE M DIAZ-DIAZ
Practice address
1614 Weaver Dr
Lutz, FL 33559-3334
Phone
(787) 306-4284
NPI assigned
Sep 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2016

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

Authorized official

Name
Jose M Diaz-Diaz, MD
Title
Practitioner
Phone
(787) 306-4284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME122262 FL Primary

Addresses

Primary practice location

1614 Weaver Dr
Lutz, FL 33559-3334

Mailing address

1614 Weaver Dr
Lutz, FL 33559-3334
Phone (787) 306-4284

Other identifiers 1

IdentifierTypeStateIssuer
1497792162OtherPRNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473552000000",
    "number": "1174071807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 WEAVER DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335593334",
            "telephone_number": "787-306-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 WEAVER DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335593334",
            "telephone_number": "787-306-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE M DIAZ-DIAZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-11",
        "last_updated": "2016-09-11",
        "status": "A",
        "authorized_official_last_name": "DIAZ-DIAZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "787-306-4284",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME122262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497792162",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; 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.