NPIMap

Organization Active NPI

Diamond Health Medical Care Center Inc

  • Family Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1346431426
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DIAMOND HEALTH MEDICAL CARE CENTER INC
Practice address
14505 Commerce Way
Suite 750
Miami Lakes, FL 33016-1597
Phone
(305) 362-9989
Fax
(305) 362-1355
NPI assigned
Aug 5, 2007
Last updated
Jun 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Guillermo Ortega
Title
President
Phone
(305) 362-9989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

14505 Commerce Way
Suite 750
Miami Lakes, FL 33016-1597

Mailing address

14505 Commerce Way
Suite 750
Miami Lakes, FL 33016-1597
Phone (305) 362-9989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090512000520 FL Part B Supplier - Clinic/Group Practice 1456400977 Receives reassigned benefits from 11 practitioners
Practice locations: Miami Lakes, FL
O20220616000914 FL Part A Provider - Community Mental Health Center 1456400977 Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory
Tax ID family
Diamond Health Medical Care Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1346431426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14505 COMMERCE WAY",
            "address_2": "SUITE 750",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161597",
            "telephone_number": "305-362-9989",
            "fax_number": "305-362-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14505 COMMERCE WAY",
            "address_2": "SUITE 750",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161597",
            "telephone_number": "305-362-9989",
            "fax_number": "305-362-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND HEALTH MEDICAL CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-362-9989"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.