Carlos Canova-Diaz, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME104666 Issued in FL

Practice address

470 Biltmore Way Ste 200B
Coral Gables, FL 33134-5788

Phone

(305) 445-5515

Fax

(305) 445-5518

NPI assigned

Jun 8, 2007

Last updated

Mar 17, 2018By the provider in NPPES

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

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

Specialty

Internal Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leon Medical Centers LLCGroup PAC ID 9537066618, 108 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
• Moments Hospice of Miami LLC Hospice, Miami Lakes, FL, CCN 101566

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Leon Medical Centers LLC

  • Health Service Clinic/Center
  • Miami, FL
  • NPI 1376579839

  Single Specialty

  Medicare reassignment Care Compare group NPD
• C & V Gables Medical Center Inc

  • Internal Medicine Physician
  • Coral Gables, FL
  • NPI 1679002109

  Single Specialty

  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Moments Hospice of Miami LLC

  • Community Based Hospice Care Agency
  • Miami Lakes, FL
  • NPI 1407527849
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Boynton Beach, FL
  • NPI 1467507657
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Miami Lakes, FL
  • NPI 1528113792
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Melbourne, FL
  • NPI 1669548053
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Tallahassee, FL
  • NPI 1972555464
  Care Compare affiliation

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336342187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 BILTMORE WAY STE 200B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345788",
            "telephone_number": "305-445-5515",
            "fax_number": "305-445-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 BILTMORE WAY STE 200B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345788",
            "telephone_number": "305-445-5515",
            "fax_number": "305-445-5518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11501 SW 40th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331653313",
            "country_code": "US",
            "telephone_number": "305-646-3716",
            "fax_number": "305-631-3828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11501 SW 40th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331653313",
            "country_code": "US",
            "telephone_number": "305-646-3716",
            "fax_number": "305-631-3828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANOVA-DIAZ",
        "first_name": "CARLOS",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME104666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guillermo Cancio-Bello, MFT
• Aldinay Candelario, PTA
• Luis D Canete, BS
• Miguel A Canino, MD
• Janeth Cano de Clas, M.P.T.
• Allan Cao, PHARMD
• Roberto Cao III, MS, LAT, ATC, NREMT
• Ana R Caos, ARNP
• Cap Medical Center LLLC
• Helen Capote

• Internal Medicine Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.