Organization Active NPI

Pro Med Services and Management

  • Pediatric Urology Physician
  • Winter Garden, FL
National Provider Identifier
1396643128
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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)CodeLicenseStatePrimary
Pediatric Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.