Jesus Diaz Rodriguez, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11007967 Issued in FL

Practice address

1190 NW 95 St, Suite 104
Miami, FL 33150-3319

Phone

(786) 369-6579

NPI assigned

Apr 13, 2017

Last updated

Aug 20, 2020By the provider in NPPES

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Medical Management LLCGroup PAC ID 6305256678, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore Medical Center Hospital, Miami, FL, CCN 100029

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complete Medical Management, LLC.

  • Hospitalist Physician
  • Miami Lakes, FL
  • NPI 1831796051
  Medicare reassignment Care Compare group NPD
• Nephrology Specialists of Florida, LLC.

  • Nephrology Physician
  • Coral Gables, FL
  • NPI 1477083269
  Medicare reassignment

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

• Hsa NSMC LLC

  dba Florida Medical Center

  • General Acute Care Hospital
  • Lauderdale Lakes, FL
  • NPI 1184440828
  Care Compare affiliation
• Hsa NSMC LLC

  dba North Shore Medical Center

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1194552141
  Care Compare affiliation

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1548794878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 SW 162ND PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935116",
            "telephone_number": "786-369-6579",
            "fax_number": "786-536-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95 ST, SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331503319",
            "telephone_number": "786-369-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ RODRIGUEZ",
        "first_name": "JESUS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diancy Diaz Rivero
• Felipe Diaz Rizo, APRN
• Ana Margarita Diaz Rodriguez
• Dachel Diaz Rodriguez, MSN, FNP.
• Daniela Diaz Rodriguez
• Katerin Diaz Rodriguez
• Marlen Diaz Rodriguez
• Milagros Diaz Rodriguez, RBT
• Moraima Diaz Rodriguez
• Tahnee Diaz Rodriguez, PMHNP

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, 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 Aug 20, 2020; 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.