Organization Active NPI

Heaven Medical Services, Inc

  • Adult Medicine Physician
  • Hialeah, FL
National Provider Identifier
1396437018
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
HEAVEN MEDICAL SERVICES, INC
Practice address
739 E 10TH St
Hialeah, FL 33010-3635
Phone
(305) 888-7378
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Ernesto Leonel Diaz, APRNNPI 1477854198
Title
Owner
Phone
(786) 351-9892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

739 E 10TH St
Hialeah, FL 33010-3635

Mailing address

739 E 10TH St
Hialeah, FL 33010-3635
Phone (305) 888-7378

National Provider Directory

National Provider Directory

Locations

739 E 10th St
Hialeah, FL 33010
Phone (305) 363-4598

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1396437018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 E 10TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103635",
            "telephone_number": "305-888-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 E 10TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103635",
            "telephone_number": "305-888-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "LEONEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-351-9892",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "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 May 22, 2023; 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.