Elizabeth M Diaz-Moreno, SA7971

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA7971 Issued in FL

Practice address

140 N Orlando Ave
Winter Park, FL 32789-3606

Phone

(407) 407-6227

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Diaz-Moreno Enterprises, LLC

  • Speech-Language Pathologist
  • Altamonte Springs, FL
  • NPI 1174048755
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194874396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 W FOREST LAKE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142837",
            "telephone_number": "407-346-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N ORLANDO AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893606",
            "telephone_number": "407-407-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-MORENO",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "SA7971",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dialysis Ser Central Florida LLC
• David Adam Diamond, M.D
• Keishla Lisse Diaz Ayala
• Carla Janisse Diaz Baez, BS
• Maribel Diaz Cepero, RBT-22-229668
• Arturo E. Diaz, A.P.
• Bianca Diaz, NP
• Tayler Diaz
• Bonnie Louise Dickman, LMT
• N Donald Diebel Sr., M.D., PH.D.

• Speech-Language Pathologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.