Laura Denise Diago, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9113874 Issued in FL

Practice address

1411 NW 60TH Ave
Sunrise, FL 33313-6222

Phone

(954) 258-0383

NPI assigned

Sep 2, 2021

Last updated

Sep 2, 2021By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arthritis and Rheumatology Center of South Florida LLC

  • Rheumatology Physician
  • Margate, FL
  • NPI 1427559251
  Medicare reassignment

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1730857996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 NW 60TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333136222",
            "telephone_number": "954-258-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 NW 60TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333136222",
            "telephone_number": "954-258-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAGO",
        "first_name": "LAURA",
        "middle_name": "DENISE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kathleen Devlin-Burgess, ATC, LAT
• Lorraine Dewitt, PT
• Diabetic Plus Inc
• Diagnostics Plus, Inc.
• Myra Diago-Gomez
• Paulett Diah, MD
• Alfa Omar Diallo, M.D., M.P.H.
• Elizeu Dias Jr., RPH
• Ania Isabel Diaz Cabrera, RBT
• Leslie Michelle Diaz-Ortiz, PH.D.

• Physician Assistant in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.