Carlos Alberto Diaz Valladares, NPFA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11013392 Issued in FL

Practice address

16400 SW 173Rd Ave
Miami, FL 33187-1251

Phone

(786) 488-4301

NPI assigned

Jun 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Jesucristo Medical Group LLCGroup PAC ID 2860918034, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jesucristo Medical Group LLC

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1477361863
  Medicare reassignment Care Compare group NPD
• Ninojesus Medical Center LLC

  • General Practice Physician
  • Hialeah, FL
  • NPI 1538952973

  Family

  Medicare reassignment NPD Authorized official
• Universal Family Group LLC

  • Physical Therapy Clinic/Center
  • Miami, FL
  • NPI 1831880897
  NPD

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1215506878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 SW 173RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871251",
            "telephone_number": "786-488-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 SW 173RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871251",
            "telephone_number": "786-488-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ VALLADARES",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "credential": "NPFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-18",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "25-227",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11013392",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maytee Maria Diaz Torres, MD
• Carlos Diaz Valdes, CSA
• Jorge Diaz Valdes, MD
• Yuleyvis Diaz Valdes
• Lleny Diaz Valdivia
• Orlando Diaz Valle
• Lisbeth Diaz Varela
• Leicet Diaz Varona
• Marisol Diaz Vazquez
• Maridelie Diaz Villanueva, PSY.D.

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.