Individual provider Active NPI

Maria E Diaz, ARNP

  • Gerontology Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1255843389
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
9428938 Issued in FL
Practice address
2015 Ocean Dr Ste 11
Boynton Beach, FL 33426-5131
Phone
(561) 364-8056
NPI assigned
Oct 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 9428938 FL Primary

Addresses

Primary practice location

2015 Ocean Dr Ste 11
Boynton Beach, FL 33426-5131

Mailing address

2015 Ocean Dr Ste 11
Boynton Beach, FL 33426-5131
Phone (561) 364-8056

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maria.diaz.1@29601.direct.athenahealth.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180305002302 FL Practitioner - Nurse Practitioner 2264793389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

2015 Ocean Dr
Suite 11
Boynton Beach, FL 33426-5131
Phone (561) 364-8056

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9428938FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC CurrentSince May 1, 2023 Accepting new patients
Dobremed,LLC PastSince Dec 8, 2024 Accepting new patients

Locations

2015 Ocean Dr
Ste 11
Boynton Beach, FL 33426
Phone (561) 364-8056

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

Interoperability endpoints

  • Direct secure messaging: maria.diaz.1@29601.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1255843389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 OCEAN DR STE 11",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265131",
            "telephone_number": "561-364-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 OCEAN DR STE 11",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265131",
            "telephone_number": "561-364-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARIA",
        "middle_name": "E",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9428938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria.diaz.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2015 Ocean Dr Ste 11",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334265131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.