Alejandro Abel Diaz Jr., M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME100243 Issued in FL

Practice address

1706 S Alexander St
Plant City, FL 33563-8411

Phone

(813) 717-9000

NPI assigned

Apr 19, 2007

Last updated

Jan 28, 2013By 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Diaz Medical Center, Inc.

  • Primary Care Clinic/Center
  • Brandon, FL
  • NPI 1053795815
  Medicare reassignment
• Parsons Walk-in Clinic

  dba Liberty Walk-In Clinic

  • Primary Care Clinic/Center
  • Ruskin, FL
  • NPI 1194982447
  NPD (past)
• Parsons Walk-in Clinic Inc

  dba Liberty Walk-In Clinic Inc

  • Urgent Care Clinic/Center
  • Brandon, FL
  • NPI 1851558191
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1336366624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 S ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335638411",
            "telephone_number": "813-717-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 S ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335638411",
            "telephone_number": "813-717-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ALEJANDRO",
        "middle_name": "ABEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME100243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Associates of Florida (Plant City) PLLC
• Poliana Desarden
• Devarakonda & Rajendran MD S
• Subrahmanyam Devarakonda, M.D.
• Satishchandra V Dholakia, MD
• Erin N Diaz, APRN
• Janelis Diaz
• Joanne Diformato, RPH
• Dennis Sy Digamon, DDS
• Thomas A Digeronimo, M.D.

• Adult Medicine Physician in Plant City, FL
• Providers in Plant City, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.