Organization Active NPI

John Rufo Diaz MD

Doing business as John Rufo Diaz MD LLC

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1780489765
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOHN RUFO DIAZ MD
Doing business as
John Rufo Diaz MD LLC
Practice address
5470 Bryson CT
Naples, FL 34109-6000
Phone
(239) 451-9747
NPI assigned
Feb 14, 2025
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Dr. John R Diaz, MDNPI 1588616072
Title
Owner/MD
Phone
(239) 877-8522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

5470 Bryson CT
Naples, FL 34109-6000

Mailing address

166 Wickliffe Dr
Naples, FL 34110-1334
Phone (239) 877-8522

Other names 1

  • John Rufo Diaz MD LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250414003132 FL Part B Supplier - Clinic/Group Practice 5698299485 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2320051John Rufo Diaz MD LLC5470 Bryson Court, Naples, FL 34109Certificate of waiverMar 11, 2027

National Provider Directory

National Provider Directory

Locations

5470 Bryson Ct
Naples, FL 34109
Phone (239) 451-9747

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1780489765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 WICKLIFFE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101334",
            "telephone_number": "239-877-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 BRYSON CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341096000",
            "telephone_number": "239-451-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN RUFO DIAZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "239-877-8522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Rufo Diaz MD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.