Marvin Diaz-Lacayo MD PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME0022072 Issued in FL

Legal business name

MARVIN DIAZ-LACAYO MD PA

Practice address

21150 Biscayne Blvd
Ste 101
Aventura, FL 33180-1226

Phone

(305) 932-4198

Fax

(305) 932-9102

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Margaret Bowman

Title

Billing Supervisor

Phone

(305) 932-4198

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1679790380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21150 BISCAYNE BLVD",
            "address_2": "STE 101",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801226",
            "telephone_number": "305-932-4198",
            "fax_number": "305-932-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 BISCAYNE BLVD",
            "address_2": "STE 101",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801226",
            "telephone_number": "305-932-4198",
            "fax_number": "305-932-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN DIAZ-LACAYO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "305-932-4198",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME0022072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Martinez, M.S.,C.C.C.
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• Anthony Masih, DPM
• Pedro Rafael Mastrodomenico Sanchez, MD
• Eric Silviano Matamoros

• Hematology & Oncology Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.