Active NPI
Sandra Diaz, M.D.
- Obstetrics & Gynecology Physician
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME143366
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME143366 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Seth J Herbst MD PA | Obstetrics & Gynecology | Past | 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
- sandra.diaz@hca4.eclinicaldirectplus.com
- 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.
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
-
- Obstetrics & Gynecology Physician
- Wellington, FL
- NPI 1871541052
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.