Active NPI
Marco Antonio Diaz, MA
- Mechanotherapist
- North Miami Beach, FL
National Provider Identifier
1588949044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA46790
- Practice address
- 1865 NE 163Rd St
North Miami Beach, FL 33162-4805 - Phone
- (305) 948-9958
- Fax
- (305) 948-9518
- NPI assigned
- Oct 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA46790 | FL | Primary |
Addresses
Primary practice location
1865 NE 163Rd St
North Miami Beach, FL 33162-4805
Mailing address
1865 NE 163Rd St
North Miami Beach, FL 33162-4805
Phone (305) 948-9958
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA46790 | FL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1588949044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1865 NE 163RD ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331624805",
"telephone_number": "305-948-9958",
"fax_number": "305-948-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1865 NE 163RD ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331624805",
"telephone_number": "305-948-9958",
"fax_number": "305-948-9518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "MARCO",
"middle_name": "ANTONIO",
"name_prefix": "Miss",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "MA46790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.