Jose Antonio Izquierdo Diaz, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

130827 Issued in FL

Practice address

10280 SW Stephanie Way # 8-101
Port Saint Lucie, FL 34987-1962

Phone

(786) 389-6304

NPI assigned

Nov 3, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Internal MedicineAlso: Hospitalist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastside Hospitalists IncGroup PAC ID 9436157831, 179 clinicians

HHA Associates LLCGroup PAC ID 2961839758, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palm Beach Hospice and Palliative Care by Morselife Hospice, West Palm Beach, FL, CCN 101560
• Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
• Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
• HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Eastside Hospitalists Inc

  • Hospitalist Physician
  • Hollywood, FL
  • NPI 1285676957
  Medicare reassignment Care Compare group NPD
• HHA Associates LLC

  dba HHA Hospital Medicine

  • Hospitalist Physician
  • Miami, FL
  • NPI 1265073159
  Medicare reassignment Care Compare group NPD
• Accountable Care Hospitalist Group

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1659640282
  Medicare reassignment NPD
• Florida Hospital Medicine Services, LLC.

  dba Florida Acute Care Specialists (FLACS)

  • Hospitalist Physician
  • Boca Raton, FL
  • NPI 1508873183
  Medicare reassignment NPD
• Hospitalist Group of the Palm Beaches PA

  • Internal Medicine Physician
  • Atlantis, FL
  • NPI 1801249990
  Medicare reassignment NPD
• Morselife Hospice Institute, Inc.

  dba Palm Beach Hospice by MorseLife

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • West Palm Beach, FL
  • NPI 1932971074
  Medicare reassignment NPD
• Morselife Hospice Institute, Inc.

  dba Palm Beach Hospice by MorseLife

  • Community Based Hospice Care Agency
  • West Palm Beach, FL
  • NPI 1407335219
  NPD (past)

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

• JFK Medical Center Limited Partnership

  dba HCA Florida JFK Hospital

  • General Acute Care Hospital
  • Atlantis, FL
  • NPI 1326085424
  Care Compare affiliation
• Morselife Hospice Institute, Inc.

  dba Palm Beach Hospice by MorseLife

  • Community Based Hospice Care Agency
  • West Palm Beach, FL
  • NPI 1407335219
  Care Compare affiliation
• South Broward Hospital District

  dba Memorial Hospital West

  • General Acute Care Hospital
  • Pembroke Pines, FL
  • NPI 1134102080
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Boynton Beach, FL
  • NPI 1467507657
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Miami Lakes, FL
  • NPI 1528113792
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Melbourne, FL
  • NPI 1669548053
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Tallahassee, FL
  • NPI 1972555464
  Care Compare affiliation

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1235534215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10280 SW STEPHANIE WAY # 8-101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349870000",
            "telephone_number": "786-389-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10280 SW STEPHANIE WAY # 8-101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349871962",
            "telephone_number": "786-389-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZQUIERDO DIAZ",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-03",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "100021299",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "130827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235534215",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tim Ioannides, MD
• John R Istad, D.C.
• It's Time to Care LLC
• Angelica Italiano, DO
• Lavetta S Ivey
• Chelsea Jackson, APRN
• Jennifer Melissa Jackson, APRN
• Michelle Letticia Jackson, , DOULA
• Susan Jacob
• Brooke Jacobs, MSW

• Internal Medicine Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.