Pedro Joaquin Diaz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME82011 Issued in FL

Practice address

16800 NW 2ND Ave Ste 400
North Miami Beach, FL 33169-5501

Phone

(305) 654-3718

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650067200000",
    "number": "1326000555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 NW 2ND AVE STE 400",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695501",
            "telephone_number": "305-654-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 NW 2ND AVE STE 400",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695501",
            "telephone_number": "305-654-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "PEDRO",
        "middle_name": "JOAQUIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME82011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260986000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatiana Diaz Cardelle, NP
• Cyntia Diaz Velez
• Lia Jose Diaz
• Marco Antonio Diaz, MA
• Michelle Diaz, PHARMD
• Anthony Jose Dieguez, DO
• Katie Marie Dienell, PA
• Kim Mara Dierickx, PA
• Lisandra Diez Espinosa
• Evanna Doble

• Family Medicine Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.