Organization Active NPI

South Florida Preventive Care Group

  • Adult Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1366878829
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9179779 Issued in FL
Legal business name
SOUTH FLORIDA PREVENTIVE CARE GROUP
Practice address
19015 NW 80TH CT
Hialeah, FL 33015-5210
Phone
(305) 934-7076
NPI assigned
Sep 16, 2013
Last updated
Sep 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Dr. Deisy Diaz-Prieto, DNP
Title
DNP
Phone
(305) 934-7076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X ARNP9179779 FL Primary

Addresses

Primary practice location

19015 NW 80TH CT
Hialeah, FL 33015-5210

Mailing address

19015 NW 80TH CT
Hialeah, FL 33015-5210
Phone (305) 934-7076

National Provider Directory

National Provider Directory

Locations

622 W Sugarland Hwy
Clewiston, FL 33440
Phone (863) 599-7006

Practitioners & affiliated clinicians

Practitioners 1

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": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1366878829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19015 NW 80TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155210",
            "telephone_number": "305-934-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19015 NW 80TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155210",
            "telephone_number": "305-934-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PREVENTIVE CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "DIAZ-PRIETO",
        "authorized_official_first_name": "DEISY",
        "authorized_official_title_or_position": "DNP",
        "authorized_official_telephone_number": "305-934-7076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9179779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.