Individual provider Active NPI

Manuel Lopez Diaz, MD

  • Emergency Medicine Physician
  • Palmetto Bay, FL
National Provider Identifier
1255311338
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME0083364 Issued in FL
Practice address
9333 SW 152ND St
Emergency Department
Palmetto Bay, FL 33157-1778
Phone
(305) 256-5001
NPI assigned
Jan 17, 2006
Last updated
May 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME0083364 FL Primary

Addresses

Primary practice location

9333 SW 152ND St
Emergency Department
Palmetto Bay, FL 33157-1778

Mailing address

3103 SW 156TH PL
Miami, FL 33185-4920
Phone (305) 226-7431

Other identifiers 3

IdentifierTypeStateIssuer
P00414260OtherRR MCR
264971300MedicaidFL
28010OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040327000337 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 9436041092 Reassigns benefits to 3 organizations
Practice locations: Miami, FL
I20151023002242 OH Practitioner - Emergency Medicine 9436041092 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0083364FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jan 13, 2014 Accepting new patients
South Miami Criticare Inc. Emergency Medicine CurrentSince Aug 18, 2011 Accepting new patients
Therapy Medical Rehabilitation Corp CurrentSince Aug 25, 2022 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Belle Glade Emergency Physicians LLC Emergency Medicine Past Accepting new patients
City Circle ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Doctors ER Services, Inc. Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations

1201 S Main St
Belle Glade, FL 33430
Phone (561) 996-6571

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

1840 W 49th St
Ste 404
Hialeah, FL 33012
Phone (305) 823-1959

1840 W 49th St
Ste 607
Hialeah, FL 33012
Phone (305) 527-7976

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

5901 SW 74th St
Ste 202
South Miami, FL 33143
Phone (305) 665-2059

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

Interoperability endpoints

  • Direct secure messaging: mlopez@yourcarecommunity.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1255311338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 SW 156TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854920",
            "telephone_number": "305-226-7431",
            "fax_number": "888-959-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 SW 152ND ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571778",
            "telephone_number": "305-256-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DIAZ",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0083364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00414260",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264971300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28010",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.