Individual provider Active NPI

Gloria E Diaz-Medina, M.D.

  • Epilepsy Physician
  • Miami, FL
National Provider Identifier
1265630735
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
P3707 Issued in TX
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

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000227 TX Practitioner - NeurologyPractitioner - Pediatric Medicine 8224184395 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pediatric Medicine
Education
University of Puerto Rico School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mpower Clinical TXGroup PAC ID 1850716705, 31 clinicians

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 Hospital, Tyler, TX, CCN 450864
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • South Texas Spine and Surgical Hospital Hospital, San Antonio, TX, CCN 450856
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26034PRMDPediatrics Physician
52194MNMDNeurology Physician
ME125884FLMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Aug 19, 2019 Accepting new patients
Neuro Network Partners Neurology With Special Qualifications in Child Neurology Current Accepting new patients
Texas Children'S Physician Group Pediatrics CurrentSince Jul 29, 2021 Accepting new patients
Mpower Clinical TX Neurology CurrentSince Sep 1, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Aug 19, 2019 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

  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.