Juan Carlos Diaz Massip

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1591 Hayley LN Ste 101
Fort Myers, FL 33907-2121

Phone

(239) 288-6046

Fax

(888) 388-5055

NPI assigned

Sep 15, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1235917865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 NW 19TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339933913",
            "telephone_number": "239-645-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 HAYLEY LN STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072121",
            "telephone_number": "239-288-6046",
            "fax_number": "888-388-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ MASSIP",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Colonnello,LCSW,PA
• Casey Isabel Diaz de Nacimiento
• Yania Diaz Diaz
• Natali Diaz Garcia
• Natalia Sofia Diaz Gomez, PA-C
• Rocio Diaz Noda
• Marjoris Diaz Perez
• Yunior Yoel Diaz Sablon, DDS
• Emanuel Diaz Sanchez
• Yanailys Diaz Serrano, RBT

• Behavior Technician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.