Individual provider Active NPI

Maytee Maria Diaz Torres, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1326726696
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1538 Issued in FL
Practice address
1490 NW 27TH Ave Ste 130
Miami, FL 33125-2173
Phone
(305) 635-7710
Fax
(786) 621-7817
NPI assigned
Jul 7, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 023115 PR
General Practice Physician 208D00000X ACN1538 FL Primary

Addresses

Primary practice location

1490 NW 27TH Ave Ste 130
Miami, FL 33125-2173

Mailing address

6100 Blue Lagoon Dr Ste 365
Miami, FL 33126-7010
Phone (786) 322-7333

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
I20240404002270 FL Practitioner - General Practice 7214375641 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023115PRMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Group of Miami, LLC. General Practice CurrentSince Feb 20, 2024 Accepting new patients
Ideal Medical Center of Miami PastSince Jul 31, 2023 Accepting new patients

Locations

1490 NW 27th Ave
Ste 130
Miami, FL 33125
Phone (305) 635-7710

6100 Blue Lagoon Dr
Ste 365
Miami, FL 33126
Phone (786) 322-7333

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1326726696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR STE 365",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331267010",
            "telephone_number": "786-322-7333",
            "fax_number": "786-322-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 NW 27TH AVE STE 130",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252173",
            "telephone_number": "305-635-7710",
            "fax_number": "786-621-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ TORRES",
        "first_name": "MAYTEE",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PR",
            "license": "023115",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.