Individual provider Active NPI

Sonia Diaz, DO

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1477508430
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9473 Issued in FL
Practice address
8260 W Flagler St
1A
Miami, FL 33144-2069
Phone
(786) 703-3484
Fax
(786) 703-3486
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3184 WV
Family Medicine Physician 207Q00000X 3027 TN
Family Medicine Physician 207Q00000X 0102204749 VA
Family Medicine Physician 207Q00000X 17984 NH
Family Medicine Physician 207Q00000X E-10124 AR
Family Medicine Physician 207Q00000X DO034606 DC
Family Medicine Physician 207Q00000X 077124 GA
Family Medicine Physician 207Q00000X 40253 SC
Family Medicine Physician 207Q00000X 04059 KY
Family Medicine Physician 207Q00000X 2016-02010 NC
Family Medicine Physician 207Q00000X 34.012435 OH
Family Medicine Physician 207Q00000X OS9473 FL Primary

Addresses

Primary practice location

8260 W Flagler St
1A
Miami, FL 33144-2069

Mailing address

909 N Krome Ave
Homestead, FL 33030-4408
Phone (786) 243-4100

Other identifiers 1

IdentifierTypeStateIssuer
275372300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, VA, WV, KY, TN, ME7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20070827000202 FL Practitioner - Family Practice 8426140104 Reassigns benefits to 1 organization
I20201119000209 NC Practitioner - Family Practice 8426140104 Reassigns benefits to 1 organization
I20201119000374 VA Practitioner - Family Practice 8426140104 Reassigns benefits to 1 organization
I20201119000498 WV Practitioner - Family Practice 8426140104 Reassigns benefits to 1 organization
I20201120000905 KY Practitioner - Family Practice 8426140104 Reassigns benefits to 5 organizations
I20201124000605 TN Practitioner - Family Practice 8426140104 Reassigns benefits to 1 organization
I20251120000587 ME Practitioner - Family Practice 8426140104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 California St
Suite 2300
San Francisco, CA 94111-3720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E-10124ARMDFamily Medicine Physician
DO034606DCMDFamily Medicine Physician
OS9473FLMDFamily Medicine Physician
077124GAMDFamily Medicine Physician
04059KYMDFamily Medicine Physician
2016-02010NCMDFamily Medicine Physician
17984NHMDFamily Medicine Physician
34.012435OHMDFamily Medicine Physician
40253SCMDFamily Medicine Physician
0102204749VAMDFamily Medicine Physician
3184WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C Family Medicine CurrentSince Mar 24, 2020 Accepting new patients
Homestead Family Medical Center CurrentSince Oct 24, 2006 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

909 N Krome Ave
Homestead, FL 33030
Phone (305) 248-5004

1201 Hays St
Tallahassee, FL 32301
Phone (855) 522-7233

45 Memorial Cir
Augusta, ME 04330
Phone (855) 270-3624

Interoperability endpoints

  • Direct secure messaging: sonia.diaz.1@30520.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1477508430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304408",
            "telephone_number": "786-243-4100",
            "fax_number": "786-243-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST",
            "address_2": "1A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "786-703-3484",
            "fax_number": "786-703-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "3184",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "3027",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102204749",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "17984",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-10124",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "DO034606",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "077124",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "40253",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "04059",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2016-02010",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.012435",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275372300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.