Organization Active NPI

Rolando E Diaz Mdpa

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1740420819
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME95472 Issued in FL
Legal business name
ROLANDO E DIAZ MDPA
Practice address
4410 W 16TH Ave
Suite 56
Hialeah, FL 33012-7100
Phone
(305) 512-0080
Fax
(305) 512-0082
NPI assigned
Mar 2, 2009
Last updated
Jul 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
Rolando E Diaz, MD
Title
President
Phone
(305) 512-0080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME95472 FL Primary

Addresses

Primary practice location

4410 W 16TH Ave
Suite 56
Hialeah, FL 33012-7100

Mailing address

PO Box 940700
Miami, FL 33194-0700
Phone (305) 512-0080

National Provider Directory

National Provider Directory

Locations

12800 SW 8th St
#A
Miami, FL 33184
Phone (305) 222-1046

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1740420819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940700",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331940700",
            "telephone_number": "305-512-0080",
            "fax_number": "305-512-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE",
            "address_2": "SUITE 56",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127100",
            "telephone_number": "305-512-0080",
            "fax_number": "305-512-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLANDO E DIAZ MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-512-0080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME95472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.