Active NPI
Ilen Diaz, ARNP
- Family Nurse Practitioner
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9350669
- Practice address
- 16514 SW 19TH St
Miramar, FL 33027-4466 - Phone
- (786) 270-9389
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9350669 | FL | Primary |
Addresses
Primary practice location
16514 SW 19TH St
Miramar, FL 33027-4466
Mailing address
16514 SW 19TH St
Miramar, FL 33027-4466
Phone (786) 270-9389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14601 SW 29TH St
Suite 206
Miramar, FL 33027-4714
Phone (954) 885-5551
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9350669 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Francisco Flores MD PA | Current | Accepting new patients | |
| The Derm Group LLP | Current | Accepting new patients |
Locations
3700 W 12th Ave
Ste 210
Hialeah, FL 33012
Phone (305) 487-7050
11760 SW 40th St
Ste 451
Miami, FL 33175
Phone (305) 227-9233
14601 SW 29th St
Ste 206
Miramar, FL 33027
Phone (954) 885-5551
11924 Forest Hill Blvd
Ste 10A411
Wellington, FL 33414
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00136
- https://app.meldrx.com/api/fhir/ez_00135
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Coral Gables, FL
- NPI 1801448519
-
- Dermatology Physician
- Miramar, FL
- NPI 1033302260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1669953535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16514 SW 19TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330274466",
"telephone_number": "786-270-9389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16514 SW 19TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330274466",
"telephone_number": "786-270-9389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ILEN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9350669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.