Grethel Diaz, APRN11041379

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11041379 Issued in FL

Practice address

2024 Edgewood Dr S
Lakeland, FL 33803-3637

Phone

(863) 232-4323

Fax

(863) 232-4323

NPI assigned

Apr 29, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1336085463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 EDGEWOOD DR S",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033637",
            "telephone_number": "863-232-4323",
            "fax_number": "863-232-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 EDGEWOOD DR S",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033637",
            "telephone_number": "863-232-4323",
            "fax_number": "863-232-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "GRETHEL",
        "name_prefix": "Mrs.",
        "credential": "APRN11041379",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11041379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yania Laura Diaz Rodriguez
• Abraham Diaz Vargas
• Joan Diaz-Roman, DC
• Ana-Maria Diaz, PHARMD
• Grace Diaz, APRN
• Jessica Diaz
• Rolando Ivan Diaz
• Ruben Daniel Diaz
• Wilda Diaz
• Imad Al-Deen Dibo, MD

• Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.