Alexander Diaz Pena

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

11021971 Issued in FL

Practice address

23231 SW 111TH Ave
Homestead, FL 33032-5189

Phone

(786) 614-3501

NPI assigned

Oct 19, 2022

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anesthesia Physician Solutions of South Florida, LLC

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1104248699

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Physician Solutions of South Florida, LLC

  • Anesthesiology Physician
  • Port St Lucie, FL
  • NPI 1437823507

  Nurse Anesthetist, Certified Registered

  NPD

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1689391716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23231 SW 111TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325189",
            "telephone_number": "786-614-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23231 SW 111TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325189",
            "telephone_number": "786-614-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ PENA",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "11021971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diaz Home Care Alf II, Inc.
• Diaz Home Care Alf, Inc.
• Susej Diaz Lezcano
• Leisdany Diaz Miranda
• Mildrey Diaz Navarro
• Lazara Diaz Rocubert
• Melissa Diaz Rodriguez
• Mirelys Diaz Sanchez
• Yamilet M Diaz Santiago
• Daniela Diaz Sosa

• Certified Registered Nurse Anesthetist in Homestead, FL
• Providers in Homestead, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.