Manuel Jesus Diaz, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME88049 Issued in FL

Practice address

7800 SW 57TH Ave Ste 106
South Miami, FL 33143-5551

Phone

(305) 476-7771

Fax

(305) 442-0121

NPI assigned

Dec 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

New York Medical College, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• High Standard Health Services Inc Home health agency, Miami, FL, CCN 109330
• South Miami Hospital Hospital, Miami, FL, CCN 100154
• Doctors Hospital Hospital, Coral Gables, FL, CCN 100296

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3ed38101-a312-4a4c-8cad-0627a5c63d9e/

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.

• Executive Health of South Florida, LLC

  • Internal Medicine Physician
  • South Miami, FL
  • NPI 1881534675
  Medicare reassignment NPD Authorized official
• Executive Health of Coral Gables LC

  • Internal Medicine Physician
  • Coral Gables, FL
  • NPI 1639196298
  Medicare reassignment NPD
• Jose I Garri MD DMD PA

  • Plastic Surgery Physician
  • South Miami, FL
  • NPI 1295060648
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital, Inc.

  • General Acute Care Hospital
  • Coral Gables, FL
  • NPI 1952351983
  Care Compare affiliation
• High Standard Health Services, Inc.

  • Home Health Agency
  • Miami, FL
  • NPI 1982875027
  Care Compare affiliation
• South Miami Hospital Inc

  • General Acute Care Hospital
  • South Miami, FL
  • NPI 1982688230
  Care Compare affiliation

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1689659062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 57TH AVE STE 106",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435551",
            "telephone_number": "305-476-7771",
            "fax_number": "305-442-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW 57TH AVE STE 106",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435551",
            "telephone_number": "305-476-7771",
            "fax_number": "305-442-0121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 Ponce De Leon Blvd",
            "address_2": "Suite 930",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "33134",
            "country_code": "US",
            "telephone_number": "305-442-0028",
            "fax_number": "305-476-1603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MANUEL",
        "middle_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME88049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268539600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abel Ernesto Diaz, M.D.
• Alain Diaz
• Ashley Diaz, PSYD
• Dennis Luis Diaz, CRNA
• Karina Altagracia Diaz, MD
• Marisel Diaz
• Yamilet Diaz, ARNP
• Ashley Diep-Lam
• Angelica Jean Dilorenzo, MD
• Carissa Dobert, APRN

• Specialist in South Miami, FL
• Providers in South Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.

Verify at the official NPI Registry.