Individual provider Active NPI

Maria Diaz, D.O PHARMD

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1851383913
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS8226 Issued in FL
Practice address
4308 Alton Rd
Suite 860
Miami Beach, FL 33140-4556
Phone
(305) 604-2888
Fax
(305) 604-2887
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS8226 FL Primary

Addresses

Primary practice location

4308 Alton Rd
Suite 860
Miami Beach, FL 33140-4556

Mailing address

9415 NE 6TH Ave
Miami Shores, FL 33138
Phone (305) 756-7899

Other identifiers 2

IdentifierTypeStateIssuer
06337YOtherFLMEDICARE IND.
262657800MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000762 FL Practitioner - Internal Medicine 3779576681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9420 Park Dr
Miami Shores, FL 33138-2744
Phone (305) 756-7899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
OS8226FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medchoice of North Hialeah, L.L.C. CurrentSince Nov 1, 2007 Accepting new patients
Beach Medical Associates Inc. Past Accepting new patients
Alex Barrocas MD PA Past Accepting new patients
Medchoice of Opalocka L L C PastSince May 29, 2007 Accepting new patients
Primary Care Physicians Group Past Accepting new patients
Medchoice of West Hialeah LLC PastSince Feb 4, 2008 Accepting new patients

Organizations & group practices 7

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1851383913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 NE 6TH AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "33138",
            "telephone_number": "305-756-7899",
            "fax_number": "305-756-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "SUITE 860",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404556",
            "telephone_number": "305-604-2888",
            "fax_number": "305-604-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "D.O PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IND.",
            "identifier": "06337Y",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262657800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.