Active NPI
Pro Med Services and Management
- Pediatric Urology Physician
- Winter Garden, FL
National Provider Identifier
1396643128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- Legal business name
- PRO MED SERVICES AND MANAGEMENT
- Practice address
- 15415 Waterbird Rd Ste 110
Winter Garden, FL 34787-5793 - Phone
- (321) 844-3820
- NPI assigned
- Oct 30, 2026
- Last updated
- Oct 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manuel Cruz-Diaz
- Title
- Owner
- Phone
- (321) 844-3820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | Primary |
Addresses
Primary practice location
15415 Waterbird Rd Ste 110
Winter Garden, FL 34787-5793
Mailing address
15415 Waterbird Rd Ste 110
Winter Garden, FL 34787-5793
National Provider Directory
National Provider DirectoryLocations
15415 Waterbird Rd
Ste 110
Winter Garden, FL 34787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793318400000",
"number": "1396643128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15415 WATERBIRD RD STE 110",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347875793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15415 WATERBIRD RD STE 110",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347875793",
"telephone_number": "321-844-3820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO MED SERVICES AND MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-30",
"last_updated": "2026-10-30",
"certification_date": "2026-10-30",
"status": "A",
"authorized_official_last_name": "CRUZ-DIAZ",
"authorized_official_first_name": "MANUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-844-3820"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology, Pediatric Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
- Prestige Total Health of Colorado LLC (Prestige Total Health)
- Prestige Total Health of Florida, PLLC (Prestige Total Health)
- Prestige Total Health of Nebraska, LLC (Prestige Total Health)
- Monica Prieto, CCHW
- Prime Dialysis, LLC
- Procare Rehabilitation LLC
- Professional Ride Services LLC
- Publix Super Markets Inc (Publix Pharmacy #1158)
- Publix Super Markets Inc (Publix Pharmacy #0881)
- Publix Super Markets, Inc. (Publix Pharmacy #1567)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.