Sandra R Diaz

Primary specialty

TaxiTaxonomy code 344600000X

License

D200796827620 Issued in FL

Practice address

400 Gran Bahama Blvd
Davenport, FL 33897-8322

Phone

(407) 549-8569

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720599202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GRAN BAHAMA BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338978322",
            "telephone_number": "407-549-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GRAN BAHAMA BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338978322",
            "telephone_number": "407-549-8569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5606 Louis Xiv Ct",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336145829",
            "country_code": "US",
            "telephone_number": "407-549-8569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "SANDRA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "FL",
            "license": "D200796827620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Udaykumar J Desai, B.PHARM
• Jean-Claude Desgranges, M.D.
• Ryan Desmarais, P.T.
• Linette Diaz Vizcarrondo
• Isabel Diaz
• Rafik Dib, DDS, MSD, PHARMD.
• Tabitha Dieujuste, APRN
• Divine Heart Nursing LLC
• Divinity Premier Homecare LLC
• Alexander Viet Doan

• Taxi in Davenport, FL
• Providers in Davenport, FL by specialty
• Taxi in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.