Ivan Diaz Valdes

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11030064 Issued in FL

Practice address

6376 Pine Ridge Rd
Naples, FL 34119-3908

Phone

(239) 348-4221

Fax

(239) 348-4529

NPI assigned

Dec 8, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collier Hma Physician Management LLCGroup PAC ID 2769495167, 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ivan.diaz-valdes.1@4692.direct.athenahealth.com

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.

• Collier Hma Physician Management LLC

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1245282979
  Medicare reassignment Care Compare group NPD
• Collier Hma Physician Management LLC

  • Optometrist
  • Naples, FL
  • NPI 1962713248
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Naples Hma LLC

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1215003348
  Care Compare affiliation
• Naples Hma LLC

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1316992134
  Care Compare affiliation

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702166400000",
    "number": "1528835543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 HERITAGE WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101367",
            "telephone_number": "786-409-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6376 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193908",
            "telephone_number": "239-348-4221",
            "fax_number": "239-348-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ VALDES",
        "first_name": "IVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Jose Diaz Izarra, MD
• Maile Diaz Lopez
• Lizania Caridad Diaz Matos
• Sheila Diaz Mur
• Dalyna Diaz Suarez
• Yanet Diaz-Martell, MD
• Lazaro Roberto Diaz-Nunez, MD
• Laura Katerine Diaz-Rosas
• Bryan Diaz, PA
• David P. Diaz, PA-C

• Family Nurse Practitioner in Naples, FL
• Providers in Naples, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.