Active NPI
Daniella Diaz, PA-C
- Physician Assistant
- Miami, FL
National Provider Identifier
1396407789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9115063
- Practice address
- 3850 Bird Rd Ste 104
Miami, FL 33146-1507 - Phone
- (305) 669-8337
- NPI assigned
- Oct 12, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9115063 | FL | Primary |
Addresses
Primary practice location
3850 Bird Rd Ste 104
Miami, FL 33146-1507
Mailing address
6867 Granada Blvd
Coral Gables, FL 33146-3823
Phone (786) 683-3970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9115063 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Pointe Dermatology and Cosmetic Center PA | Current | Accepting new patients |
Locations
3850 Bird Rd
Ste 104
Miami, FL 33146
Phone (305) 669-8337
Organizations & group practices 1
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.
-
- Specialist
- Miami, FL
- NPI 1932324738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1396407789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6867 GRANADA BLVD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331463823",
"telephone_number": "786-683-3970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 BIRD RD STE 104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331461507",
"telephone_number": "305-669-8337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "DANIELLA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-12",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9115063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.