Diez Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DIEZ MEDICAL LLC

Practice address

1414 NW 107TH Ave Ste 205
Sweetwater, FL 33172-2741

Phone

(786) 253-9513

Fax

(786) 933-6651

NPI assigned

Jan 4, 2021

Last updated

Aug 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Boris D Diez, APRNNPI 1861969883

Title

Manager

Phone

(786) 253-9513

Specialties & licenses 1

Addresses

Other names 1

• Diez Medical LLC Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Boris D Diez, APRN

  • Family Medicine Physician
  • Sweetwater, FL
  • NPI 1861969883
  Medicare reassignment NPD Authorized official
• Luis C Quintero, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Coral Gables, FL
  • NPI 1710073648
  NPD (past)

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1407444730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16881 SW 278TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330312745",
            "telephone_number": "786-253-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NW 107TH AVE STE 205",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722741",
            "telephone_number": "786-253-9513",
            "fax_number": "786-933-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEZ MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "DIEZ",
        "authorized_official_first_name": "BORIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-253-9513",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diez Medical LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Diez Medical LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Sweetwater, FL
• Providers in Sweetwater, 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 Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.