Active NPI
Jose Diaz, M.D.
- Pediatric Critical Care Medicine Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- ME0085425
- Practice address
- 9981 S Healthpark Dr
Fort Myers, FL 33908-3618 - Phone
- (239) 343-5651
- Fax
- (239) 343-5652
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME0085425 | FL | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 46720 | GA |
Addresses
Primary practice location
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-5651
Other practice location 1
2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117
Phone (404) 785-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265196300 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0085425 | FL | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Pediatric Critical Care Medicine | Current | Accepting new patients |
| Lee Health System Inc | Pediatric Critical Care Medicine | Current | Accepting new patients |
| Lee Memorial Health System | Past | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
9981 S Healthpark Dr
Fl 2
Fort Myers, FL 33908
9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344
9981 S Healthpark Dr
Fl DR4
Fort Myers, FL 33908
Phone (239) 343-5651
9981 S Healthpark Dr
Ste 156
Fort Myers, FL 33908
Phone (239) 343-5333
9981 S Healthpark Dr
Ste 619
Fort Myers, FL 33908
Phone (239) 343-5651
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
Interoperability endpoints
- jdiaz6091@direct.leememorial.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
Pediatric Critical Care Medicine
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
Pediatric Critical Care Medicine
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
- General Practice Physician
- Fort Myers, FL
- NPI 1740697978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1295778272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-5651",
"fax_number": "239-343-5652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9981 S HEALTHPARK DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083618",
"telephone_number": "239-343-5651",
"fax_number": "239-343-5652"
}
],
"practiceLocations": [
{
"address_1": "2220 N Druid Hills Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303293117",
"country_code": "US",
"telephone_number": "404-785-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "JOSE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME0085425",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "GA",
"license": "46720",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265196300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.