Individual provider Active NPI

Celina Del Carmen Diaz, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1487167904
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9412240 Issued in FL
Practice address
711 NW 23Rd Ave
Miami, FL 33125-3298
Phone
(305) 643-4797
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9412240 FL Primary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X ARNP9412240 FL

Addresses

Primary practice location

711 NW 23Rd Ave
Miami, FL 33125-3298

Mailing address

4138 SW 97TH CT
Miami, FL 33165-5147
Phone (305) 439-7139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190612002149 FL Practitioner - Nurse Practitioner 2769715473 Reassigns benefits to 2 organizations
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Medical Group CorpGroup PAC ID 4385970623, 3 clinicians

Practice addresses (Care Compare)

711 NW 23Rd Ave
Suite 301
Miami, FL 33125-3395
Phone (305) 643-4797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9412240FLMDNurse Practitioner
APRN9412240FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Health LLC Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
CH Medical Group Corp. Single Specialty CurrentSince Mar 1, 2020 Accepting new patients

Locations

5068 Annunciation Cir
Unit 111
Ave Maria, FL 34142
Phone (239) 304-0054

711 NW 23rd Ave
Ste 301A
Miami, FL 33125

5673 SW 137th Ave
Miami, FL 33183
Phone (305) 385-3949

711 NW 23rd Ave
Ste 301
Miami, FL 33125
Phone (305) 643-4797

Organizations & group practices 2

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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1487167904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4138 SW 97TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655147",
            "telephone_number": "305-439-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NW 23RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253298",
            "telephone_number": "305-643-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CELINA",
        "middle_name": "DEL CARMEN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9412240",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9412240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.