Individual provider Active NPI

Iliana Diaz, APRN

  • Family Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1497559868
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN9373837 Issued in FL
Practice address
16340 NW 59TH Ave # 200
Miami Lakes, FL 33014-5601
Phone
(786) 266-4982
Fax
(786) 266-4982
NPI assigned
Apr 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN9373837 FL Primary

Addresses

Primary practice location

16340 NW 59TH Ave # 200
Miami Lakes, FL 33014-5601

Mailing address

16340 NW 59TH Ave # 200
Miami Lakes, FL 33014-5601
Phone (786) 266-4982

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515002943 FL Practitioner - Nurse Practitioner 9436677275 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9373837FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woundcare Specialists of South Florida Inc Family Medicine CurrentSince May 9, 2025 Accepting new patients

Locations

16340 NW 59th Ave
Ste 200
Miami Lakes, FL 33014
Phone (305) 363-4598

Organizations & group practices 1

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": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1497559868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16340 NW 59TH AVE # 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330145601",
            "telephone_number": "786-266-4982",
            "fax_number": "786-266-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16340 NW 59TH AVE # 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330145601",
            "telephone_number": "786-266-4982",
            "fax_number": "786-266-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ILIANA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN9373837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.