Individual provider Active NPI

Susana Gema Perez Diaz, M.D.

  • Family Medicine Physician
  • Jupiter, FL
National Provider Identifier
1295926749
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
100551 Issued in FL
Practice address
1094 Military TRL
Jupiter, FL 33458-7021
Phone
(561) 622-6111
Fax
(855) 215-9930
NPI assigned
Aug 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 100551 FL Primary

Addresses

Primary practice location

1094 Military TRL
Jupiter, FL 33458-7021

Mailing address

PO Box 850001, Dept 8340
Orlando, FL 32885-0001
Phone (855) 536-7277

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address susana.perezdiaz@mcmgfl.eclinicaldirectplus.com Health Information Exchange (HIE)

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
I20100927001355 FL Practitioner - Family Practice 9537285598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hernando Pasco Primary Care LLCGroup PAC ID 0547231474, 88 clinicians
PCC Medical Holdings LLCGroup PAC ID 0446679468, 27 clinicians

Practice addresses (Care Compare)

1094 Military TRL
Jupiter, FL 33458-7021
Phone (561) 622-6111

1670 S Congress Ave
PCC of Palm Springs
Palm Springs, FL 33461-2142
Phone (561) 432-4577

Hospital & facility affiliations

  • Enhabit Home Health of Jupiter Medical Center Home health agency, Jupiter, FL, CCN 107544
  • Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100551FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando Pasco Primary Care LLC Family Medicine CurrentSince Sep 15, 2025 Accepting new patients
PCC Medical Holdings LLC CurrentSince Mar 9, 2023 Accepting new patients
Anita Health Care Inc Current Accepting new patients
Independant Ipa,LLC PastSince Sep 15, 2025 Accepting new patients
Mycare Medical of Texas, PLLC Family Medicine PastSince Mar 12, 2024 Accepting new patients

Locations

11373 Cortez Blvd
Ste 206
Brooksville, FL 34613
Phone (352) 596-3032

3465 Galt Ocean Dr
Ste 101
Ft Lauderdale, FL 33308
Phone (954) 566-7775

1094 Military Trl
Jupiter, FL 33458
Phone (561) 622-6111

1785 Northpointe Pkwy
Ste 300
Lutz, FL 33558
Phone (813) 536-7277

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

3502 Kyoto Gardens Dr
Ste A
Palm Beach Gardens, FL 33410
Phone (561) 622-6500

1670 S Congress Ave
Palm Springs, FL 33461
Phone (561) 432-0283

971 Village Blvd
West Palm Beach, FL 33409
Phone (561) 688-5030

2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD

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.

Hospital & facility affiliations 5

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1295926749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001, DEPT 8340",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850001",
            "telephone_number": "855-536-7277",
            "fax_number": "855-830-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 MILITARY TRL",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587021",
            "telephone_number": "561-622-6111",
            "fax_number": "855-215-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ DIAZ",
        "first_name": "SUSANA",
        "middle_name": "GEMA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "100551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susana.perezdiaz@mcmgfl.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1094 Military Trl",
            "city": "Jupiter",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334587021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.