Guillermo Diaz -Victores

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

15924 SW 92ND Ave
Palmetto Bay, FL 33157-1842

Phone

(305) 964-5824

Fax

(305) 964-5824

NPI assigned

Aug 1, 2025

Last updated

Aug 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1265316442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 NE 5TH WAY",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343295",
            "telephone_number": "786-942-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15924 SW 92ND AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571842",
            "telephone_number": "305-964-5824",
            "fax_number": "305-964-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ -VICTORES",
        "first_name": "GUILLERMO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Care Association,Corp
• Destiny Research Center LLC
• Developing People, Inc.
• Diabetes Health Center
• Diabetic and DME World
• Leodan Diaz Alfonso
• Yenisleidys Diaz Davila
• Lilyam Diaz Fernandez
• Barbara Diaz Llanes, BCBA
• Dayana Diaz Serpa

• Medical Physician Assistant in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.