Organization Active NPI

Doral Medicine Associates Inc.

Doing business as Family Pediatric Primary Care

  • Internal Medicine Physician
  • Doral, FL
National Provider Identifier
1699804153
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME48450 Issued in FL
Legal business name
DORAL MEDICINE ASSOCIATES INC.
Doing business as
Family Pediatric Primary Care
Practice address
7885 NW 107TH Ave Ste 4-03a
Doral, FL 33178-4426
Phone
(305) 477-7111
Fax
(305) 594-3126
NPI assigned
Mar 2, 2007
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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) 402-9067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME48450 FL Primary

Addresses

Primary practice location

7885 NW 107TH Ave Ste 4-03a
Doral, FL 33178-4426

Mailing address

10773 NW 58TH St # 315
Doral, FL 33178-2801
Phone (305) 477-7111

Other names 2

  • Family Pediatric Primary Care Doing business as
  • Pediatrics Medicine Associates Provider Group Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240711000334 FL Part B Supplier - Clinic/Group Practice 0840735155 Receives reassigned benefits from 3 practitioners
Practice locations: Doral, FL

National Provider Directory

National Provider Directory

Locations

7885 NW 107th Ave
Ste 403A
Doral, FL 33178

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1699804153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10773 NW 58TH ST # 315",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782801",
            "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": "7885 NW 107TH AVE STE 4-03A",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784426",
            "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": "2026-10-15",
        "certification_date": "2026-10-15",
        "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": "786-402-9067",
        "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": [
        {
            "organization_name": "Family Pediatric Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatrics Medicine Associates Provider Group Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.