Individual provider Active NPI

America Beatriz De Quesada Diaz

  • Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1831888924
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11025919 Issued in FL
Practice address
2620 W 76TH St Apt 106
Hialeah, FL 33016-5648
Phone
(786) 614-3455
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 11025919 FL Primary

Addresses

Primary practice location

2620 W 76TH St Apt 106
Hialeah, FL 33016-5648

Mailing address

2620 W 76TH St Apt 106
Hialeah, FL 33016-5648
Phone (786) 614-3455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260320000940 FL Practitioner - Nurse Practitioner 4284118993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 NE 167TH St
North Miami Beach, FL 33162-3402

2620 W
76 TH St Apt 106
Hialeah, FL 33016

2620 W
76TH St Apt 106
Hialeah, FL 33016-5648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11025919FLMDNurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1831888924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 W 76TH ST APT 106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165648",
            "telephone_number": "786-614-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 W 76TH ST APT 106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165648",
            "telephone_number": "786-614-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE QUESADA DIAZ",
        "first_name": "AMERICA",
        "middle_name": "BEATRIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11025919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.