Individual provider Active NPI

Pedro O Diaz, M.D.

  • Cardiovascular Disease Physician
  • Hialeah, FL
National Provider Identifier
1578532800
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 0048134 Issued in FL
Practice address
2387 W 68TH St
Suite 503
Hialeah, FL 33016-6889
Phone
(305) 558-0720
Fax
(305) 558-8847
NPI assigned
Mar 17, 2006
Last updated
Oct 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME 0048134 FL Primary

Addresses

Primary practice location

2387 W 68TH St
Suite 503
Hialeah, FL 33016-6889

Mailing address

2387 W 68TH St
Suite 503
Hialeah, FL 33016-6889
Phone (305) 558-0720

Other identifiers 1

IdentifierTypeStateIssuer
045298000MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325000300 FL Practitioner - Cardiovascular Disease (Cardiology) 6305738568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2387 W 68 St
Suite 503
Hialeah, FL 33016-6890
Phone (305) 558-0720

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 0048134FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pedro Orlando Diaz MD PA Cardiovascular Disease CurrentSince Dec 1, 2010 Accepting new patients

Locations

2387 W 68th St
Ste 503
Hialeah, FL 33016
Phone (305) 232-0170

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1578532800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST",
            "address_2": "SUITE 503",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166889",
            "telephone_number": "305-558-0720",
            "fax_number": "305-558-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST",
            "address_2": "SUITE 503",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166889",
            "telephone_number": "305-558-0720",
            "fax_number": "305-558-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "PEDRO",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 0048134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045298000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.