Cecilia C. Diaz, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17363 Issued in FL

Practice address

3714 W Euclid Ave
Tampa, FL 33629-8725

Phone

(813) 835-8900

Fax

(813) 835-8614

NPI assigned

Jun 13, 2006

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

Other identifiers 1

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1770526345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 W EUCLID AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298725",
            "telephone_number": "813-835-8900",
            "fax_number": "813-835-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 W EUCLID AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298725",
            "telephone_number": "813-835-8900",
            "fax_number": "813-835-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CECILIA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX PAYER ID NUMBER",
            "identifier": "203486602",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amri Elizabeth Diaz
• Amy Diaz
• Antonio P Diaz Jr., MD
• Barbara Mariana Diaz
• Carlos Diaz, LMT
• Chabelis Diaz, RBT
• Connor Diaz, MD
• Danai Diaz, MA
• Daniel Diaz, M.D.
• Deborah Diaz, APRN

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.