Active NPI
JLD Medical Services Inc
- Internal Medicine Physician
- Hialeah, FL
National Provider Identifier
1225056997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- JLD MEDICAL SERVICES INC
- Practice address
- 7100 W 20TH Ave
Suite 706
Hialeah, FL 33016-1897 - Phone
- (305) 821-6112
- Fax
- (305) 821-9050
- NPI assigned
- Jul 18, 2006
- 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. Jorge Luis Diaz, D.O.
- Title
- President
- Phone
- (305) 821-6112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
7100 W 20TH Ave
Suite 706
Hialeah, FL 33016-1897
Mailing address
7100 W 20TH Ave
Suite 706
Hialeah, FL 33016-1897
Phone (305) 821-6112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260071400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
7100 W 20th Ave
Ste 403
Hialeah, FL 33016
Phone (305) 821-6112
1984 NW 22nd Pl
Miami, FL 33125
Phone (305) 364-2375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318809600000",
"number": "1225056997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 W 20TH AVE",
"address_2": "SUITE 706",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161897",
"telephone_number": "305-821-6112",
"fax_number": "305-821-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 W 20TH AVE",
"address_2": "SUITE 706",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161897",
"telephone_number": "305-821-6112",
"fax_number": "305-821-9050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JLD MEDICAL SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2011-10-17",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "LUIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-821-6112",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "260071400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.