Individual provider Active NPI

Ernesto Felipe Perez Diaz

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1174460760
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11047188 Issued in FL
Practice address
2510 W Waters Ave
Tampa, FL 33614-1833
Phone
(813) 513-2365
Fax
(813) 944-4972
NPI assigned
May 1, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11047188 FL Primary

Addresses

Primary practice location

2510 W Waters Ave
Tampa, FL 33614-1833

Mailing address

2510 W Waters Ave
Tampa, FL 33614-1833
Phone (813) 513-2365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11047188FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patel Health Services, Inc. Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1174460760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141833",
            "telephone_number": "813-513-2365",
            "fax_number": "813-944-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141833",
            "telephone_number": "813-513-2365",
            "fax_number": "813-944-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ DIAZ",
        "first_name": "ERNESTO",
        "middle_name": "FELIPE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11047188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.