Individual provider Active NPI

Antonio Diaz, APRN

  • Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1578355707
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11037208 Issued in FL
Practice address
7836 NW 167TH Ter
Miami Lakes, FL 33016-3422
Phone
(786) 216-4510
NPI assigned
May 22, 2025
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11037208 FL Primary

Addresses

Primary practice location

7836 NW 167TH Ter
Miami Lakes, FL 33016-3422

Mailing address

7836 NW 167TH Ter
Miami Lakes, FL 33016-3422

Other practice location 1

4105 E 4th Ave Ste 2D
Hialeah, FL 33013-2318
Phone (305) 419-2679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11037208FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1578355707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7836 NW 167TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330163422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7836 NW 167TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330163422",
            "telephone_number": "786-216-4510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4105 E 4th Ave Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330132318",
            "country_code": "US",
            "telephone_number": "305-419-2679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ANTONIO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-22",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11037208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.