Individual provider Active NPI

Eduardo Dieguez Jr., MD

  • Pain Medicine (Anesthesiology) Physician
  • St Augustine, FL
National Provider Identifier
1235184805
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME41955 Issued in FL
Practice address
811 State Road 206 E Ste 1
St Augustine, FL 32086-4869
Phone
(904) 824-0955
Fax
(904) 824-2226
NPI assigned
May 23, 2006
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME41955 FL Primary

Addresses

Primary practice location

811 State Road 206 E Ste 1
St Augustine, FL 32086-4869

Mailing address

PO Box 3105
St Augustine, FL 32085-3105

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310001479 FL Practitioner - Interventional Pain Management 6709775638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

811 State Rd 206
Suite 1
St Augustine, FL 32086-4869
Phone (904) 824-0955

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eduardo Dieguez Jr MD PA Pain Medicine CurrentSince Oct 1, 2002 Accepting new patients
Stat Medical Office Services Inc PastSince May 19, 2024 Accepting new patients
Saint Augustine Hospitalists Primary Care Past Accepting new patients

Locations

811 State Road 206 E
Ste 1
Saint Augustine, FL 32086
Phone (352) 339-3064

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1235184805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3105",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 STATE ROAD 206 E STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864869",
            "telephone_number": "904-824-0955",
            "fax_number": "904-824-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEGUEZ",
        "first_name": "EDUARDO",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME41955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.