Individual provider Active NPI

Cheryl L Case-Diaz, MD

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1184615874
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME87835 Issued in FL
Practice address
3410 W 84TH St
BLDG F Suite 110
Hialeah, FL 33018
Phone
(305) 558-3571
Fax
(305) 558-3682
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME87835 FL Primary

Addresses

Primary practice location

3410 W 84TH St
BLDG F Suite 110
Hialeah, FL 33018

Mailing address

3410 W 84TH St
BLDG F Suite 110
Hialeah, FL 33018
Phone (305) 558-3571

Other identifiers 1

IdentifierTypeStateIssuer
270576100MedicaidFL

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
I20040616000629 FL Practitioner - Internal Medicine 8527042621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wayne H Case MD PAGroup PAC ID 5092616094, 7 clinicians

Practice addresses (Care Compare)

17933 NW 7 St
Pembroke Pines, FL 33029-2812
Phone (954) 436-1927

3410 W 84 St
Hialeah, FL 33018-4906
Phone (305) 558-3571

3470 NW 82ND Ave
Suite 118
Doral, FL 33122-1026
Phone (305) 398-1991

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne H Case MD PA CurrentSince Jul 1, 2004 Accepting new patients
Family Medical Centre Past Accepting new patients
Wayne H Case MD PA Internal Medicine Past Accepting new patients

Locations

3470 NW 82nd Ave
Ste 118
Doral, FL 33122
Phone (305) 398-1991

3410 W 84th St
Ste 110
Hialeah, FL 33018
Phone (305) 558-3571

17933 NW 7th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 436-1927

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1184615874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 W 84TH ST",
            "address_2": "BLDG F SUITE 110",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "305-558-3571",
            "fax_number": "305-558-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 W 84TH ST",
            "address_2": "BLDG F SUITE 110",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "305-558-3571",
            "fax_number": "305-558-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE-DIAZ",
        "first_name": "CHERYL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME87835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270576100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.