Organization Active NPI

Manuel F Diaz MD PA

  • Internal Medicine Physician
  • Gainesville, FL
National Provider Identifier
1285744037
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0058066 Issued in FL
Legal business name
MANUEL F DIAZ MD PA
Practice address
1130 NW 64TH Ter
Gainesville, FL 32605-4219
Phone
(352) 333-5242
Fax
(352) 333-6223
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Dr. Manuel F Diaz, MDNPI 1568665859
Title
MD Primary Care Physician Int Med
Phone
(352) 338-0407

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0058066 FL Primary

Addresses

Primary practice location

1130 NW 64TH Ter
Gainesville, FL 32605-4219

Mailing address

1130 NW 64TH Ter
Gainesville, FL 32605-4219
Phone (352) 333-5242

National Provider Directory

National Provider Directory

Locations

106 SW 10th St
Gainesville, FL 32601
Phone (352) 338-0407

Practitioners & affiliated clinicians

Practitioners 2

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1285744037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 NW 64TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054219",
            "telephone_number": "352-333-5242",
            "fax_number": "352-333-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NW 64TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054219",
            "telephone_number": "352-333-5242",
            "fax_number": "352-333-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL F DIAZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD PRIMARY CARE PHYSICIAN INT MED",
        "authorized_official_telephone_number": "352-338-0407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0058066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.