Individual provider Active NPI

Aylen Diaz Garcia, APRN

  • Family Nurse Practitioner
  • Palm Springs, FL
National Provider Identifier
1306561436
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11022299 Issued in FL
Practice address
4469 S Congress Ave Ste 106
Palm Springs, FL 33461-4726
Phone
(561) 642-0768
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11022299 FL Primary

Addresses

Primary practice location

4469 S Congress Ave Ste 106
Palm Springs, FL 33461-4726

Mailing address

4469 S Congress Ave Ste 106
Palm Springs, FL 33461-4726
Phone (561) 642-0768

Other names 1

  • Aylen Diaz Garcia Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230815001724 FL Practitioner - Nurse Practitioner 0345602884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11022299FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Medical Center Inc CurrentSince Jun 25, 2023 Accepting new patients

Locations

4469 S Congress Ave
Ste 106
Palm Springs, FL 33461
Phone (561) 642-0768

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1306561436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4469 S CONGRESS AVE STE 106",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614726",
            "telephone_number": "561-642-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4469 S CONGRESS AVE STE 106",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614726",
            "telephone_number": "561-642-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ GARCIA",
        "first_name": "AYLEN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYLEN",
            "last_name": "DIAZ GARCIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.