Active NPI
Gloria E Diaz-Medina, M.D.
- Epilepsy Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Epilepsy Physician
- License
- P3707
- Practice address
- 3200 SW 60TH Court
Suite 302
Miami, FL 33155-3009 - Phone
- (305) 662-8345
- Fax
- (786) 703-7527
- NPI assigned
- Jul 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | ME125884 | FL | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | P3707 | TX | |
| Epilepsy Physician | 2084E0001X | P3707 | TX | Primary |
| Pediatrics Physician | 208000000X | 26034 | PR | |
| Neurology Physician | 2084N0400X | 104466 | MN | |
| Neurology Physician | 2084N0400X | 52194 | MN |
Addresses
Primary practice location
3200 SW 60TH Court
Suite 302
Miami, FL 33155-3009
Mailing address
3200 SW 60TH Court
Suite 302
Miami, FL 33155-3009
Phone (305) 662-8345
Other practice location 1
6621 Fannin St
Houston, TX 77030-2358
Phone (832) 824-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120816000227 | TX | Practitioner - Neurology | 8224184395 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Puerto Rico School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mpower Clinical TX
Practice addresses (Care Compare)
7 Trails End Rd
Abilene, TX 79602-5501
Phone (210) 598-2800
Hospital & facility affiliations
- Baylor Scott & White Texas Spine & Joint Hospital
- O U Medical Center
- Baylor University Medical Center
- South Texas Spine and Surgical Hospital
- Methodist Hospital Stone Oak
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26034 | PR | MD | Pediatrics Physician |
| 52194 | MN | MD | Neurology Physician |
| ME125884 | FL | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Neuro Network Partners | Neurology With Special Qualifications in Child Neurology | Current | Accepting new patients |
| Texas Children'S Physician Group | Pediatrics | Current | Accepting new patients |
| Mpower Clinical TX | Neurology | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Texas Children'S Hospital | Past | Accepting new patients |
Locations
3200 SW 60th Ct
Ste 302
Miami, FL 33155
Phone (305) 662-8330
6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866
6621 Fannin St
#W1998
Houston, TX 77030
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
2915 W Bitters Rd
Ste 201
San Antonio, TX 78248
6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b43dd149-90a5-46ef-81a8-ea2a2b1b0ec9/
Organizations & group practices 6
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Miami, FL
- NPI 1013123231
Neurology With Special Qualifications in Child Neurology
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Children's Hospital
- Houston, TX
- NPI 1477643690
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
Hospital
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1295890093
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1265630735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 SW 60TH COURT",
"address_2": "SUITE 302",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553009",
"telephone_number": "305-662-8345",
"fax_number": "786-703-7527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SW 60TH COURT",
"address_2": "SUITE 302",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553009",
"telephone_number": "305-662-8345",
"fax_number": "786-703-7527"
}
],
"practiceLocations": [
{
"address_1": "6621 Fannin St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302358",
"country_code": "US",
"telephone_number": "832-824-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ-MEDINA",
"first_name": "GLORIA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "FL",
"license": "ME125884",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "TX",
"license": "P3707",
"primary": false
},
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "TX",
"license": "P3707",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "26034",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "104466",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "52194",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.