Janette Beatriz Dieguez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9108507 Issued in FL

Practice address

7369 Sheridan St Ste 203
Hollywood, FL 33024-2776

Phone

(954) 983-5330

Fax

(954) 983-5086

NPI assigned

Apr 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

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  Medicare reassignment

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1215323530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7369 SHERIDAN ST STE 203",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242776",
            "telephone_number": "954-983-5330",
            "fax_number": "954-983-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7369 SHERIDAN ST STE 203",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242776",
            "telephone_number": "954-983-5330",
            "fax_number": "954-983-5086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 N 37th Ave",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215414",
            "country_code": "US",
            "telephone_number": "954-962-1355",
            "fax_number": "305-284-7763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1859 Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330205127",
            "country_code": "US",
            "telephone_number": "954-926-3852",
            "fax_number": "954-926-3887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Johnson St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215421",
            "country_code": "US",
            "telephone_number": "954-265-5364",
            "fax_number": "954-965-6468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEGUEZ",
        "first_name": "JANETTE",
        "middle_name": "BEATRIZ",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100752200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.