Individual provider Active NPI

German Diaz, R.N.

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1689786063
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009893 Issued in FL
Practice address
1130 SW 138TH Ave
Miami, FL 33184-2763
Phone
(305) 305-1227
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9240801 FL
Vascular Sonography Radiologic Technologist 2471V0105X 81140 FL
Family Nurse Practitioner 363LF0000X APRN11009893 FL Primary

Addresses

Primary practice location

1130 SW 138TH Ave
Miami, FL 33184-2763

Mailing address

1130 SW 138TH Ave
Miami, FL 33184-2763
Phone (305) 305-1227

Other identifiers 1

IdentifierTypeStateIssuer
RN9240801OtherFLNURSING LICENSE

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211018000473 FL Practitioner - Nurse Practitioner 2961450366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centrum Medical Holdings, LLCGroup PAC ID 8820422991, 51 clinicians

Practice addresses (Care Compare)

11825 SW 26TH St
Miami, FL 33175-2464
Phone (305) 266-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9240801FLMDRegistered Nurse
81140FLMDVascular Sonography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Centers LLC CurrentSince Apr 6, 2024 Accepting new patients
Centrum Medical Holdings, LLC Dba Centrum Health CurrentSince Jul 14, 2021 Accepting new patients
Centrum Medical Holdings, LLC Current Accepting new patients
Med Care Centers LLC Current Accepting new patients
Centrum Medical Centers Kendall, LLC CurrentSince Jul 14, 2021 Accepting new patients
Medcare Centers, LLC CurrentSince Apr 6, 2024 Accepting new patients
Jennifer Rodriguez-Ferrer MD PA Past Accepting new patients

Locations

10980 SW 184th St
Cutler Bay, FL 33157
Phone (305) 266-2928

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

900 W 49th St
Ste 308
Hialeah, FL 33012
Phone (305) 558-6622

900 W 49th St
Ste 206
Hialeah, FL 33012
Phone (305) 571-6292

900 W 49th St
Ste 101
Hialeah, FL 33012

4218 E 4th Ave
Hialeah, FL 33013
Phone (305) 828-1971

28610 SW 157th Ave
Homestead, FL 33033
Phone (786) 873-1805

434 SW 12th Ave
Miami, FL 33130
Phone (305) 294-9292

11825 SW 26th St
Miami, FL 33175
Phone (786) 447-4582

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

4767 NW 183rd St
Miami Gardens, FL 33055
Phone (305) 351-9337

5730 SW 74th St
Ste 200
South Miami, FL 33143

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1689786063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SW 138TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842763",
            "telephone_number": "305-305-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SW 138TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842763",
            "telephone_number": "305-305-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "GERMAN",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9240801",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "FL",
            "license": "81140",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "RN9240801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.