Individual provider Active NPI

Sandra Diaz, M.D.

  • Obstetrics & Gynecology Physician
  • Jupiter, FL
National Provider Identifier
1356703342
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME143366 Issued in FL
Practice address
4495 Military TRL Ste 101
Jupiter, FL 33458-4838
Phone
(561) 799-3722
Fax
(561) 799-3692
NPI assigned
Mar 28, 2016
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X LA
Obstetrics & Gynecology Physician 207V00000X ME143366 FL Primary

Addresses

Primary practice location

4495 Military TRL Ste 101
Jupiter, FL 33458-4838

Mailing address

1395 S State Road 7 Ste 450
Wellington, FL 33414-9328
Phone (561) 798-1233

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SANDRA.DIAZ@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200713002530 FL Practitioner - Obstetrics/Gynecology 4587955141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME143366FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Dec 1, 2022 Accepting new patients
Seth J Herbst MD PA Obstetrics & Gynecology PastSince May 15, 1997 Accepting new patients

Locations

550 Heritage Dr
Ste 203
Jupiter, FL 33458
Phone (561) 354-1515

600 Heritage Dr
Ste 210
Jupiter, FL 33458
Phone (561) 354-1515

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

Interoperability endpoints

  • Direct secure messaging: sandra.diaz@hca4.eclinicaldirectplus.com
  • Direct secure messaging: sdiaz19658@jupitermedicalcenter.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1356703342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 S STATE ROAD 7 STE 450",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149328",
            "telephone_number": "561-798-1233",
            "fax_number": "561-798-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 MILITARY TRL STE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584838",
            "telephone_number": "561-799-3722",
            "fax_number": "561-799-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2022-02-08",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME143366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SANDRA.DIAZ@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4495 Military Trl Ste 101",
            "city": "Jupiter",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334584838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.