Jorge Luis Diaz, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS7912 Issued in FL

Practice address

7100 W 20TH Ave
Suite 401
Hialeah, FL 33016-1897

Phone

(305) 821-6112

Fax

(305) 821-9050

NPI assigned

Jun 30, 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

Specialty

Internal MedicineAlso: Osteopathic Manipulative Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jorge_l_diaz_-_do@yourcarecommunity.org
• Direct secure messaging: pca.jorge.diaz@131763.advancedmd-direct.com
• Direct secure messaging: jdiaz401@lamp-fl.direct.office.nextgen.com

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

• Albert G Logun M D Hubert G Martinez M D P a

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1598791774

  FL, Internal Medicine

  Medicare reassignment NPD Authorized official
• Jorge L. Diaz D.O P.a

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1053704171

  Internal Medicine

  NPD Authorized official
• Hippocrates Medical Center LLC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1700568797
  NPD
• Jorge L. Diaz D.O P.a

  • Clinic/Center
  • Hialeah, FL
  • NPI 1598518128
  NPD

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1346279809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 401",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161811",
            "telephone_number": "305-821-6112",
            "fax_number": "305-829-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE",
            "address_2": "SUITE 401",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161897",
            "telephone_number": "305-821-6112",
            "fax_number": "305-821-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019928600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Diaz, PHARMD
• Jennifer Diaz
• Jesus Antonio Diaz, DDS
• Jorge Diaz
• Jorge Diaz
• Jose Diaz
• Juliana Diaz
• Kathlyn De la Caridad Diaz
• Kelly Diaz
• Kelly Diaz

• All providers in Hialeah, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.