Active NPI
Javier Ditas, PA
- Physician Assistant
- Doral, FL
National Provider Identifier
1669456331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9102520
- Practice address
- 9301 NW 33Rd St
Doral, FL 33172-1202 - Phone
- (305) 437-1150
- NPI assigned
- Dec 5, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9102520 | FL | Primary |
Addresses
Primary practice location
9301 NW 33Rd St
Doral, FL 33172-1202
Mailing address
9301 NW 33Rd St
Doral, FL 33172-1202
Phone (305) 437-1188
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9102520 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1669456331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 NW 33RD ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331721202",
"telephone_number": "305-437-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 NW 33RD ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331721202",
"telephone_number": "305-437-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITAS",
"first_name": "JAVIER",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9102520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.