Jose Juan Diaz DO PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

JOSE JUAN DIAZ DO PA

Practice address

3308 NE 34TH St
Fort Lauderdale, FL 33308

Phone

(954) 564-3200

Fax

(954) 653-9188

NPI assigned

Nov 30, 2012

Organization subpart

No

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

Authorized official

Name

Jose Juan Diaz, DONPI 1164535753

Title

President

Phone

(954) 564-3200

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Juan Diaz, DO

  • Physical Medicine & Rehabilitation Physician
  • Ft Lauderdale, FL
  • NPI 1164535753
  Medicare reassignment Care Compare group Authorized official
• Christian J Pacheco, PT

  • Physical Therapist
  • Delray Beach, FL
  • NPI 1043435266
  Medicare reassignment Care Compare group NPD
• Harrietta Ceccarelli, DC

  • Chiropractor
  • Sarasota, FL
  • NPI 1215970587
  NPD (past)
• Carlos Luis Salazar

  • Physical Therapy Assistant
  • Fort Lauderdale, FL
  • NPI 1821524885
  NPD (past)

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1447595533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 NE 34TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086906",
            "telephone_number": "954-564-3200",
            "fax_number": "954-653-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 NE 34TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-564-3200",
            "fax_number": "954-653-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE JUAN DIAZ DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-564-3200",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Jones, CRNA
• Vicki Ann Jones, LMHC
• Ivana Jordan, DO
• Scott E Jordan, M.D.
• Jorge a. Vega Jr., M.D., PLLC
• Antony Jose
• Keissy Gabriela Josefik, LMHC
• Joseph J Thomas DDS PA
• Kathleen Joseph-McBean, M.D.
• Samie Joseph-Sahadeo

• Physical Medicine & Rehabilitation Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.