Individual provider Active NPI

Gabriel D. Diaz-Rozo, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1275762056
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME114950 Issued in FL
Practice address
2000 Cypress Crossing Dr Ste a
Orlando, FL 32837-8600
Phone
(407) 515-1507
Fax
(407) 515-8555
NPI assigned
Jul 14, 2009
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME114950 FL Primary

Addresses

Primary practice location

2000 Cypress Crossing Dr Ste a
Orlando, FL 32837-8600

Mailing address

5130 Sunforest Dr Ste 300
Tampa, FL 33634-6327
Phone (727) 824-0780

Other names 1

  • Dr. Gabriel Dejesus Diaz Rozo Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131021000687 FL Practitioner - Family Practice 5698900025 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

5130 Sunforest Dr
Suite 300
Tampa, FL 33634-6327
Phone (727) 824-0780

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida LLC Family Medicine CurrentSince Apr 11, 2016 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Jan 12, 2016 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Jan 12, 2016 Accepting new patients
Optumcare Florida, LLC CurrentSince Apr 11, 2016 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Feb 1, 2018 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

2000 Cypress Crossing Dr
Ste A
Orlando, FL 32837
Phone (407) 515-1507

4614 E Michigan St
Orlando, FL 32812
Phone (407) 720-3780

609 Virginia Dr
Orlando, FL 32803
Phone (407) 841-7730

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1275762056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 SUNFOREST DR STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336346327",
            "telephone_number": "727-824-0780",
            "fax_number": "274-980-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CYPRESS CROSSING DR STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378600",
            "telephone_number": "407-515-1507",
            "fax_number": "407-515-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-ROZO",
        "first_name": "GABRIEL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME114950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIEL",
            "last_name": "DIAZ ROZO",
            "middle_name": "DEJESUS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.