Edward Diaz Jr., APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11021878 Issued in FL

Practice address

460 E Altamonte Dr Ste 2200
Altamonte Springs, FL 32701-4653

Phone

(407) 767-0009

Fax

(407) 767-0022

NPI assigned

Aug 30, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

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.

• Certmedicals Walk in Clinic and Wound Care PLLC

  • Internal Medicine Physician
  • Lake Mary, FL
  • NPI 1639764871

  FL

  Medicare reassignment NPD
• Wound Technology Network Inc

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1962601393

  FL

  Medicare reassignment NPD
• WT Health of Florida LLC

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1982434106

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1225758337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 CHERRY LAUREL DR APT 412",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718873",
            "telephone_number": "407-443-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E ALTAMONTE DR STE 2200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014653",
            "telephone_number": "407-767-0009",
            "fax_number": "407-767-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Valley Dental PLLC
• Anny Diaz-Morales
• Diaz-Moreno Enterprises, LLC
• Daniellys Alejandra Diaz, LMHC
• Eduardo Ramon Diaz, M.D.
• Jennifer Diaz
• Jocelynne Diaz, BA
• Juan D Diaz, D.O.
• Lynette Diaz, COTA
• Maria Alejandra Diaz, M.D.

• All providers in Altamonte Springs, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.