Organization Active NPI

Esteban J Diaz Rivera MD PA

  • Nephrology Physician
  • Hialeah, FL
National Provider Identifier
1184057275
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME66676 Issued in FL
Legal business name
ESTEBAN J DIAZ RIVERA MD PA
Practice address
777 E 25TH St
Suite 514
Hialeah, FL 33013-3825
Phone
(305) 835-7502
Fax
(305) 835-7541
NPI assigned
Aug 13, 2013
Last updated
Jan 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Dr. Esteban J Diaz-Rivera, MDNPI 1932156999
Title
Owner
Phone
(305) 835-7502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME66676 FL Primary

Addresses

Primary practice location

777 E 25TH St
Suite 514
Hialeah, FL 33013-3825

Mailing address

777 E 25TH St
Suite 514
Hialeah, FL 33013-3825
Phone (305) 835-7502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131015001508 FL Part B Supplier - Clinic/Group Practice 9436383049 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Lakes, FL; Hialeah, FL

National Provider Directory

National Provider Directory

Locations

7150 W 20th Ave
Ste 109
Hialeah, FL 33016
Phone (305) 827-8399

777 E 25th St
Ste 206
Hialeah, FL 33013
Phone (305) 396-9250

777 E 25th St
Ste 514
Hialeah, FL 33013
Phone (305) 835-7502

7980 NW 155th St
Miami Lakes, FL 33016
Phone (305) 418-0392

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1184057275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "address_2": "SUITE 514",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133825",
            "telephone_number": "305-835-7502",
            "fax_number": "305-835-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "address_2": "SUITE 514",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133825",
            "telephone_number": "305-835-7502",
            "fax_number": "305-835-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTEBAN J DIAZ RIVERA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "DIAZ-RIVERA",
        "authorized_official_first_name": "ESTEBAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-835-7502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME66676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.