Organization Active NPI

Enrique Diaz MD PA

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1215192042
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME100582 Issued in FL
Legal business name
ENRIQUE DIAZ MD PA
Practice address
8720 N Kendall Dr
Suite 211
Miami, FL 33176-2299
Phone
(305) 412-6034
Fax
(305) 412-6686
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Dr. Enrique Diaz, MD
Title
President
Phone
(786) 525-7255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME100582 FL Primary

Addresses

Primary practice location

8720 N Kendall Dr
Suite 211
Miami, FL 33176-2299

Mailing address

9995 SW 72ND St
Suite 208
Miami, FL 33173-4662
Phone (305) 412-6034

Other identifiers 1

IdentifierTypeStateIssuer
ME100582OtherFLFL LICENSE

National Provider Directory

National Provider Directory

Locations

9995 Sunset Dr
Ste 208
Miami, FL 33173
Phone (305) 412-6730

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1215192042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9995 SW 72ND ST",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734662",
            "telephone_number": "305-412-6034",
            "fax_number": "305-412-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 N KENDALL DR",
            "address_2": "SUITE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762299",
            "telephone_number": "305-412-6034",
            "fax_number": "305-412-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE DIAZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-525-7255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME100582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL   LICENSE",
            "identifier": "ME100582",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.