Organization Active NPI

Pedro Orlando Diaz MD PA

  • Cardiovascular Disease Physician
  • Hialeah, FL
National Provider Identifier
1275833865
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PEDRO ORLANDO DIAZ MD PA
Practice address
2387 W 68TH St
Suite 503
Hialeah, FL 33016-6889
Phone
(305) 558-0720
Fax
(305) 558-8847
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Pedro O Diaz, MDNPI 1578532800
Title
President
Phone
(305) 558-0720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2387 W 68TH St
Suite 503
Hialeah, FL 33016-6889

Mailing address

PO Box 561508
Miami, FL 33256-1508
Phone (305) 558-0720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101207000386 FL Part B Supplier - Clinic/Group Practice 4486841244 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

9275 SW 152nd St
Ste 210
Palmetto Bay, FL 33157
Phone (305) 255-9577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1275833865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561508",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332561508",
            "telephone_number": "305-558-0720",
            "fax_number": "305-558-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST",
            "address_2": "SUITE 503",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166889",
            "telephone_number": "305-558-0720",
            "fax_number": "305-558-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO ORLANDO DIAZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-558-0720",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.