Active NPI
Enrique Diaz MD PA
- Psychiatry Physician
- Miami, FL
National Provider Identifier
1215192042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME100582
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME100582 | Other | FL | FL LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.