Michelle Diaz, NRCPT

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

S3F6N6G3 Issued in FL

Practice address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Phone

(407) 204-1776

Fax

(888) 272-4513

NPI assigned

Feb 3, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1497569404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 MID TOWN TER APT 1032",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328394527",
            "telephone_number": "407-535-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "407-204-1776",
            "fax_number": "888-272-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "NRCPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "FL",
            "license": "E3222554",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "S3F6N6G3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Nicholas Diaz, MD
• Christina M Diaz, MD
• Daniela Susana Diaz, RDN
• Elanda Elodiane Diaz, CCC-SLP
• Michael Diaz, MD
• Nicholas Alexander Diaz, MSW
• Rebekah Diaz
• Rina M. Diaz, M.D.
• Ryann Diaz, LCSW
• Mara Emily Dibartolomeo, D.O, MPH

• Phlebology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Phlebology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.