Active NPI
Diazgarcia Newlife Medihospitalgroup Inc
- Family Medicine Physician
- Miami Lakes, FL
National Provider Identifier
1588445258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DIAZGARCIA NEWLIFE MEDIHOSPITALGROUP INC
- Practice address
- 14001 NW 82ND Ave
Miami Lakes, FL 33016-1561 - Phone
- (786) 609-9200
- NPI assigned
- Oct 10, 2023
- Last updated
- Oct 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ileana Diaz Garcia, MD
- Title
- Owner
- Phone
- (786) 768-0009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
14001 NW 82ND Ave
Miami Lakes, FL 33016-1561
Mailing address
10619 W 33Rd CT
Hialeah, FL 33018-2116
Phone (786) 768-0009
Other practice location 1
2525 SW 75th Ave
Miami, FL 33155-2800
Phone (305) 262-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Hialeah, FL
- NPI 1073179693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696896000000",
"number": "1588445258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10619 W 33RD CT",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330182116",
"telephone_number": "786-768-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 NW 82ND AVE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161561",
"telephone_number": "786-609-9200"
}
],
"practiceLocations": [
{
"address_1": "2525 SW 75th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331552800",
"country_code": "US",
"telephone_number": "305-262-6800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DIAZGARCIA NEWLIFE MEDIHOSPITALGROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-10",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A",
"authorized_official_last_name": "DIAZ GARCIA",
"authorized_official_first_name": "ILEANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-768-0009",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"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 Oct 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.