Mitchell Diaz, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11029079 Issued in FL

Practice address

6760 SW 32ND St
Miami, FL 33155-3834

Phone

(305) 300-4415

NPI assigned

Oct 16, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1609658707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 SW 32ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553834",
            "telephone_number": "305-300-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 SW 32ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553834",
            "telephone_number": "305-300-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11029079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midiala E Diaz, MD
• Miguel Enrique Diaz, RBT
• Miguel Enrique Diaz, MD
• Milagros E Diaz
• Mirelle Diaz
• Miya Diaz, BCBA
• Monica Julieth Diaz, R.D.
• Nastasha Diaz
• Natalie Diaz
• Natalie Marie Diaz

• Gerontology Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.