Organization Active NPI

Diaz Jane OB GYN PA

  • Specialist
  • Hialeah, FL
National Provider Identifier
1427355221
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME41208 Issued in ZZ
Legal business name
DIAZ JANE OB GYN PA
Practice address
777 E 25TH St
Suite 201
Hialeah, FL 33013-3825
Phone
(305) 822-8123
Fax
(305) 822-0628
NPI assigned
Feb 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Julio Andres Diaz-Jane, M,D
Title
Medical Doctor
Phone
(305) 822-8123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME41208 ZZ Primary

Addresses

Primary practice location

777 E 25TH St
Suite 201
Hialeah, FL 33013-3825

Mailing address

777 E 25TH St
Suite 201
Hialeah, FL 33013-3825
Phone (305) 822-8123

Other identifiers 1

IdentifierTypeStateIssuer
067859700MedicaidFL

National Provider Directory

National Provider Directory

Locations

777 E 25th St
Ste 2A
Hialeah, FL 33013

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1427355221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "address_2": "SUITE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133825",
            "telephone_number": "305-822-8123",
            "fax_number": "305-822-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "address_2": "SUITE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133825",
            "telephone_number": "305-822-8123",
            "fax_number": "305-822-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ JANE OB GYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "DIAZ-JANE",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "305-822-8123",
        "authorized_official_credential": "M,D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ZZ",
            "license": "ME41208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067859700",
            "state": "FL"
        }
    ],
    "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 Mar 4, 2014; 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.