Ibrahim Diaz, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11001861 Issued in FL

Practice address

1905 NW 82ND Ave
Doral, FL 33126-1011

Phone

(786) 420-5924

Fax

(786) 542-5340

NPI assigned

Mar 18, 2019

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Face to Face Mental Health Services LLCGroup PAC ID 3577824044, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• HealthSun Health Plans Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Face to Face Mental Health Services, LLC

  • Community/Behavioral Health Agency
  • Palmetto Bay, FL
  • NPI 1043635972

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Helping Hands for Children, LLC

  • Behavior Analyst
  • Palmetto Bay, FL
  • NPI 1467988303

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1366901555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 NW 82ND AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261011",
            "telephone_number": "786-420-5924",
            "fax_number": "786-542-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 NW 82ND AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261011",
            "telephone_number": "786-420-5924",
            "fax_number": "786-542-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "IBRAHIM",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryanna Diaz
• Claudia Diaz
• Demerio Anthony Diaz
• Haydee Diaz, RN
• Hector Diaz
• Janely Diaz
• Jessica Diaz
• Jessica Diaz
• Katherine Diaz
• Lissette Diaz

• Family Nurse Practitioner in Doral, FL
• Providers in Doral, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.