Organization Active NPI

Luis a. Diaz-Secades, MD, PA

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1790143972
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME-4129 Issued in FL
Legal business name
LUIS A. DIAZ-SECADES, MD, PA
Practice address
11880 Bird Rd
Suite 210
Miami, FL 33175-3584
Phone
(305) 559-0211
Fax
(305) 559-0966
NPI assigned
Feb 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Luis A Diaz Secades, MDNPI 1104877588
Title
Physician
Phone
(305) 559-0211

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME-4129 FL Primary

Addresses

Primary practice location

11880 Bird Rd
Suite 210
Miami, FL 33175-3584

Mailing address

10455 SW 56TH St
Miami, FL 33165-7060
Phone (305) 559-0211

National Provider Directory

National Provider Directory
Tax ID family
Luis a Diaz-Secades MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11880 SW 40th St
Ste 210
Miami, FL 33175
Phone (305) 228-1770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1790143972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657060",
            "telephone_number": "305-559-0211",
            "fax_number": "305-559-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 BIRD RD",
            "address_2": "SUITE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753584",
            "telephone_number": "305-559-0211",
            "fax_number": "305-559-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS A. DIAZ-SECADES, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "DIAZ SECADES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-559-0211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME-4129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.