Harry Diaz Mendez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME124433 Issued in FL

Practice address

6100 Minton Rd NW Ste 104
Palm Bay, FL 32907-1900

Phone

(321) 724-1172

Fax

(321) 984-1695

NPI assigned

Jan 20, 2006

Last updated

Feb 21, 2024By the provider in NPPES

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 3

Other names 1

• Mr. Harry J Diaz Other name

Electronic endpoints 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Omni Healthcare, Inc.

  • Specialist
  • Melbourne, FL
  • NPI 1134191323

  Family Medicine

  Medicare reassignment NPD
• Suntree Internal Medicine, LLC.

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1700947884

  Family Medicine

  Medicare reassignment NPD
• Chen Neighborhood Medical Centers of South Florida, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1881024800
  Medicare reassignment
• Suntree Endocrinology

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1679072375
  NPD
• Stewart and Stewart a Medical Corporation

  dba Stewart Medical Group

  • Family Medicine Physician
  • Alhambra, CA
  • NPI 1306058565
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1396725727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 S APOLLO BLVD STE 406",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013185",
            "telephone_number": "321-727-2990",
            "fax_number": "321-724-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 MINTON RD NW STE 104",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071900",
            "telephone_number": "321-724-1172",
            "fax_number": "321-984-1695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3460 N Andrews Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333096060",
            "country_code": "US",
            "telephone_number": "954-947-3227 x3717",
            "fax_number": "954-947-5198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327962107",
            "country_code": "US",
            "telephone_number": "321-268-5008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7125 Murrell Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329407999",
            "country_code": "US",
            "telephone_number": "321-242-8790 x2553",
            "fax_number": "321-253-3805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ MENDEZ",
        "first_name": "HARRY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME124433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "150QQ",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120528400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IF714Z",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwjXxvb8l7P8AhUoQzABHdfDA4AQFnoECAsQAQ&url=https%3A%2F%2Fomnihealthcare.com%2F&usg=AOvVaw3-AVEy6CmPru7bOb7wZg2l",
            "affiliation": "N",
            "address_1": "6100 Minton Rd NW Ste 104",
            "city": "Palm Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329071900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HARRY",
            "last_name": "DIAZ",
            "middle_name": "J",
            "prefix": "MR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Devereux Foundation
• Kahla Bri Santiago Dewar
• Amma A Dewberry, BS
• Stephen Di Cerbo, LMFT
• Diagnostic Portable Imaging Inc
• Natalia A Diaz
• Christal M Dickun, MD
• Jean Elyse Dievendorf
• Mark C Dillon, MD
• Tram Dinh

• Family Medicine Physician in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.