Lester Omar Carvajales Dieguez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

31913 Issued in FL

Practice address

1893 NE Miami Gardens Dr
North Miami Beach, FL 33179-5035

Phone

(305) 682-0080

NPI assigned

Jun 1, 2022

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

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1356080923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 SW 139TH AVENUE RD APT 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832520",
            "telephone_number": "786-970-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 NE MIAMI GARDENS DR",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795035",
            "telephone_number": "305-682-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVAJALES DIEGUEZ",
        "first_name": "LESTER",
        "middle_name": "OMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "31913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen O Partridge DPM PA
• Marc S Carp, MD
• Carrie Landess M.D., P.a.
• Diana Lynn Carroll
• Carl Carrozzo, A.P.
• Kathrine Mina Casanova
• Nathalie Casimir, RRT
• Milena T Castellanos, APRN
• Franck-Lucie Casthely, DMD, MPH, MS
• Angie M Castillo

• Physical Therapy Assistant in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.