Jorge Alberto De Diego, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME48450 Issued in FL

Practice address

10820 NW 58TH St
Doral, FL 33178-2854

Phone

(305) 477-7111

Fax

(305) 594-3126

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Doral Medicine Associates Inc.

  • Internal Medicine Physician
  • Doral, FL
  • NPI 1699804153
  Medicare reassignment NPD Authorized official
• Pediatric Medicine Associates Group Inc.

  • Pediatrics Physician
  • Doral, FL
  • NPI 1811026354
  NPD Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1386784684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6446 NW 113TH CT",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783618",
            "telephone_number": "305-477-7111",
            "fax_number": "305-640-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782854",
            "telephone_number": "305-477-7111",
            "fax_number": "305-594-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE DIEGO",
        "first_name": "JORGE",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME48450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043536800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian De Antonio
• Miguel Angel De Armas
• Ramiro De Armas, RRT
• Amy De Castro Palomino
• Ileana De Castroverde
• Elizabeth Margaretha De Kok Rincon
• De la Caridad, Corp.
• Ludmila De la Concepcion, MD
• Elizeth De la Cruz Legra
• Nestor F De la Cruz-Munoz Jr., M.D.

• Pediatrics Physician in Doral, FL
• Providers in Doral, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.