Jose M Diaz, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME122262 Issued in FL

Practice address

6904 W Linebaugh Ave
Tampa, FL 33625-5800

Phone

(813) 888-7710

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kenneth M Mattos Ap LLC

  • Acupuncturist
  • Tampa, FL
  • NPI 1740523901
  NPD
• Centro Diangostico Integral PR Inc

  • Multi-Specialty Clinic/Center
  • Santurce, PR
  • NPI 1164482022

  Nuclear Medicine

  NPD (past)
• Dr Susoni Health Community Services Corp

  • Anesthesiology Physician
  • Arecibo, PR
  • NPI 1053945022
  NPD (past)
• Dr Susoni Health Community Services Corp

  • General Acute Care Hospital
  • Arecibo, PR
  • NPI 1972531218
  NPD (past)
• Nuclear Cardiology Imaging

  • Nuclear Medicine Physician
  • San Juan, PR
  • NPI 1962471599
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1497792162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 TIOGA DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6904 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255800",
            "telephone_number": "813-888-7710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4912 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336031402",
            "country_code": "US",
            "telephone_number": "813-871-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JOSE",
        "middle_name": "M",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "PR",
            "license": "8643",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PR",
            "license": "8643",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": "8643",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME122262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@padgettmedicalcenter.com",
            "affiliation": "N",
            "address_1": "6904 W Linebaugh Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336255800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@padgettmedicalcenter.com",
            "affiliation": "N",
            "address_1": "6904 W Linebaugh Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336255800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Holly Lynn Diaz, CSFA
• Jaclyn Marie Diaz, MSN,APRN,AGNP-C
• Joana Diaz, M.D.
• Jose J Diaz, MD
• Jose Joaquin Diaz, MD
• Julian Angel Diaz Jr., DC
• Kayla Marie Diaz, MSN, APRN, FNP-BC
• Kristen M Diaz, NP
• Leah Danielle Diaz, M.S. CCC-SLP
• Leslie Ann Diaz, PT, DPT

• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.