Carlos M Dieguez, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME 44665 Issued in FL

Practice address

10000 W Colonial Dr Ste 387
Ocoee, FL 34761-3435

Phone

(407) 635-3370

Fax

(407) 636-7818

NPI assigned

Oct 11, 2006

Last updated

May 21, 2020By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Florida Vascular Center, PA

  dba Lumina Vein & Aesthetic Institute

  • Vascular Surgery Physician
  • Windermere, FL
  • NPI 1396304960
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1679661722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 387",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613435",
            "telephone_number": "407-635-3370",
            "fax_number": "407-636-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 387",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613435",
            "telephone_number": "407-635-3370",
            "fax_number": "407-636-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEGUEZ",
        "first_name": "CARLOS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 44665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069787700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "06344",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DGS Health and Wellness PLLC
• Manvir Dhillon, MD
• Douglas Diamond III
• Laura Diaz de Ortiz
• Denita Dickson, MSW
• Amy Elizabeth Diehl, PA-C
• Maxi McKenize Dillon, LMHC
• Jamie Dimacchia, LMHC
• Bruce Martin Dixon, DO
• Dna Comprehensive Therapy Services, LLC

• Obstetrics & Gynecology Physician in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.