Fernando Diez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME32678 Issued in FL

Legal business name

FERNANDO DIEZ, MD

Doing business as

Fernando Diez, MD, PA

Practice address

7805 Coral Way Ste 102
Miami, FL 33155-6539

Phone

(305) 261-4119

Fax

(305) 261-4153

NPI assigned

Sep 20, 2014

Last updated

Sep 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fernando Julian Diez, MD

Title

President

Phone

(305) 261-4119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fernando Diez, MD, PA Doing business as

Locations

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

{
    "created_epoch": "1411171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1255733325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 CORAL WAY STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556539",
            "telephone_number": "305-261-4119",
            "fax_number": "305-261-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 CORAL WAY STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556539",
            "telephone_number": "305-261-4119",
            "fax_number": "305-261-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO DIEZ, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-20",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "DIEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "JULIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-261-4119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME32678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063464600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fernando Diez, MD, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fernandezdentpa
• Mauro J Fernandinis Soris
• Fernandinis Therapy Service Inc
• Javier Fernandinis
• Fernando Alvarez Perez MD PA
• Fernando J Dearmendi MD PA
• Fernando L. Silva, O.D., P.a.,
• Fernando Mendez Villamil MD PA (Fernando Mendez Villamil)
• Fernando Pino M.D.P.a.
• Fernando Rivabem Medical and Rehab Center

• Pediatrics Physician in Miami, FL
• Providers in Miami, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.