Active NPI
Diaz Jane OB GYN PA
- Specialist
- Hialeah, FL
National Provider Identifier
1427355221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME41208
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067859700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.