Organization Active NPI

Diaz 10 Corp

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1659184851
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DIAZ 10 CORP
Practice address
919 SW 122ND Ave # 10
Miami, FL 33184-2477
Phone
(786) 558-9009
NPI assigned
Jan 30, 2025
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Ezequiel Diaz Lopez
Title
Owner
Phone
(786) 558-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

919 SW 122ND Ave # 10
Miami, FL 33184-2477

Mailing address

919 SW 122ND Ave # 10
Miami, FL 33184-2477

National Provider Directory

National Provider Directory

Locations

919 SW 122nd Ave
#10
Miami, FL 33184
Phone (786) 558-9009

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1659184851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 SW 122ND AVE # 10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 SW 122ND AVE # 10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842477",
            "telephone_number": "786-558-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ 10 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "DIAZ LOPEZ",
        "authorized_official_first_name": "EZEQUIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-558-9009"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.