Organization Active NPI

JLD Medical Services Inc

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1225056997
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Oct 17, 2011

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
260071400MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.