Maria V Diaz, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN22329 Issued in FL

Practice address

14729 Ferrara CT
Bonita Springs, FL 34135-8294

Phone

(239) 221-7110

NPI assigned

May 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ashford Periodontics and Implants PSC

  • Periodontics
  • San Juan, PR
  • NPI 1063925758
  NPD (past) Authorized official

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295093755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51992",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501992",
            "telephone_number": "787-269-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14729 FERRARA CT",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358294",
            "telephone_number": "239-221-7110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CALLE 5 I 14 URB. TINTILLO GARDENS",
            "address_purpose": "LOCATION",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "country_code": "US",
            "telephone_number": "787-403-6228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARIA",
        "middle_name": "V",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN22329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology Associates of Naples LLC
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• Stijn Dhespeel, DPT, ATC
• Carly Di Silvestro
• Diagnostic Services Inc
• Melanie Ann Dibartolomeo Danner, PA-C
• Christopher James Diblasio, M.D.
• Samuel M Dicapua, MS, DO, CHIE
• Panida Dinprasurtsatya, PHARMD
• Kathleen Ann Dobies, NURSE PRACTITIONER

• Periodontics in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.