Geniel Alberto Diaz, APRN
Individual provider Active NPI Family Nurse Practitioner · Raleigh, NC
NPI 1841882016 · NPPES record last updated Jun 12, 2026
Key facts
- NPI
- 1841882016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5024157 (NC)
- Practice address
- 3416 Poole Rd Ste 120
Raleigh, NC 27610-2918 - Phone
- (919) 902-7366
- NPI assigned
- Feb 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Atlanta, GA 30374
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210401000573 | FL | Practitioner - Nurse Practitioner | 8325455744 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11005640 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh-Mi Physicians Group PC | Family | Current |
Accepting new patients |
| Access Medical Group of Westchester, LLC. | Current |
Accepting new patients | |
| Osh Mi Physicians Group, PC | Past |
Accepting new patients | |
| Access Medical Group of Perrine, LLC. | Past |
Accepting new patients |
Locations
6100 Blue Lagoon Dr
Ste 365
Miami, FL 33126
Phone (786) 322-7333
1621 SW 107th Ave
Miami, FL 33165
Phone (786) 422-6525
1635 SW 107th Ave
Unit A
Miami, FL 33165
Phone (786) 233-8030
1631 SW 107th Ave
Miami, FL 33165
Phone (786) 422-6525
3416 Poole Rd
Ste 120
Raleigh, NC 27610
Phone (919) 902-7366
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11005640 | FL | |
| Family Nurse Practitioner | 363LF0000X | 5024157 | NC | Yes |
Addresses
Primary practice location
3416 Poole Rd Ste 120
Raleigh, NC 27610-2918
Mailing address
PO Box 746724
Atlanta, GA 30374-6724
Phone (312) 733-9730
Other practice location 1
1631 SW 107th Ave
Miami, FL 33165-7344
Phone (786) 456-9005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109996400 | Medicaid | FL |
Other providers in Raleigh, NC
- Camila Diaz
- Cierra Diaz
- Dawn Marie Diaz
- Dyanna Diaz
- Emily Marie Diaz
- Jasmine Brianna Diaz
- Sandy Daniela Diaz
- Jeanne S Dibbert
- Danielle Dibble
- Christine Diblasi
All providers in Raleigh, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.