Active NPI
Rolando E Diaz Mdpa
- General Practice Physician
- Hialeah, FL
National Provider Identifier
1740420819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME95472
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.