Individual provider Active NPI

Rafael Diaz-Yoserev, M.D., F.A.C.S

  • Specialist
  • Coral Gables, FL
National Provider Identifier
1245220276
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0034947 Issued in FL
Practice address
3211 Ponce de Leon Blvd
Suite 210
Coral Gables, FL 33134-7274
Phone
(305) 444-6100
Fax
(305) 448-8982
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0034947 FL Primary

Addresses

Primary practice location

3211 Ponce de Leon Blvd
Suite 210
Coral Gables, FL 33134-7274

Mailing address

3211 Ponce de Leon Blvd
Suite 210
Coral Gables, FL 33134-7274
Phone (305) 444-6100

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
I20040320000006 FL Practitioner - General SurgeryPractitioner - Vascular Surgery 5294626305 Practice locations: Coral Gables, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0034947FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245220276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 PONCE DE LEON BLVD",
            "address_2": "SUITE 210",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347274",
            "telephone_number": "305-444-6100",
            "fax_number": "305-448-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 PONCE DE LEON BLVD",
            "address_2": "SUITE 210",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347274",
            "telephone_number": "305-444-6100",
            "fax_number": "305-448-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-YOSEREV",
        "first_name": "RAFAEL",
        "credential": "M.D., F.A.C.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "0034947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.