Active NPI
Luis Manuel Diaz, RN
- Registered Nurse
- Miami, FL
National Provider Identifier
1679297022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9569238
- Practice address
- 790 NW 107TH Ave Ste 301
Miami, FL 33172-3160 - Phone
- (786) 518-3353
- NPI assigned
- Sep 29, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9569238 | FL | Primary |
Addresses
Primary practice location
790 NW 107TH Ave Ste 301
Miami, FL 33172-3160
Mailing address
2793 W 72ND PL
Hialeah, FL 33016-5436
Phone (786) 447-5932
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9569238 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1679297022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2793 W 72ND PL",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330165436",
"telephone_number": "786-447-5932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 NW 107TH AVE STE 301",
"city": "MIAMI",
"state": "FL",
"postal_code": "331723160",
"telephone_number": "786-518-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "LUIS",
"middle_name": "MANUEL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-29",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9569238",
"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 Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.