Doral Medicine Associates Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME48450 Issued in FL

Legal business name

DORAL MEDICINE ASSOCIATES INC.

Practice address

10820 NW 58TH St
Doral, FL 33178-2854

Phone

(305) 477-7111

Fax

(305) 594-3126

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jorge A De Diego, MDNPI 1386784684

Title

Owner

Phone

(786) 357-4663

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge Alberto De Diego, M.D

  • Pediatrics Physician
  • Doral, FL
  • NPI 1386784684
  Medicare reassignment NPD Authorized official
• Lizney Segura Camero

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1841825718
  Medicare reassignment NPD
• Angel Javier Cabrera Barrera, FNP

  • Family Nurse Practitioner
  • Doral, FL
  • NPI 1689474264
  Medicare reassignment

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1699804153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782854",
            "telephone_number": "305-477-7111",
            "fax_number": "305-594-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782854",
            "telephone_number": "305-477-7111",
            "fax_number": "305-594-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL MEDICINE ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "DE DIEGO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-357-4663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME48450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doral Med-Plus Inc
• Doral Medical Group Services, Corp
• Doral Medical Managment&Insurance Services
• Doral Medical Office Corp
• Doral Medical Rehab Center Inc
• Doral Oriental Medicine Center
• Doral Outpatient Physicians, Inc.
• Doral Pediatric Dentistry, LLC
• Doral Pediatrics P.a.
• Doral Physical Therapy L.L.C.

• Internal Medicine Physician in Doral, FL
• Providers in Doral, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.