Boris D Diez, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

APRN11000018 Issued in FL

Practice address

1414 NW 107TH Ave Ste 205
Sweetwater, FL 33172-2741

Phone

(786) 253-9513

Fax

(786) 933-6651

NPI assigned

Oct 29, 2018

Last updated

Dec 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Diez Medical LLC

  • Family Medicine Physician
  • Sweetwater, FL
  • NPI 1407444730
  Medicare reassignment NPD Authorized official
• Elion Health Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Homestead, FL
  • NPI 1376486928
  NPD
• Sunbright Health Medical Centers, Inc.

  • General Practice Physician
  • Homestead, FL
  • NPI 1902314255
  NPD
• Health Consulting Associates LLC

  dba Full Orthopedics Orthopedic Urgent Care

  • Urgent Care Clinic/Center
  • North Miami Beach, FL
  • NPI 1194112219
  NPD (past)
• PA Surgical Inc

  • Surgical Physician Assistant
  • Boca Raton, FL
  • NPI 1942313879

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1861969883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16881 SW 278TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330312745",
            "telephone_number": "786-253-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NW 107TH AVE STE 205",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722741",
            "telephone_number": "786-253-9513",
            "fax_number": "786-933-6651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16881 SW 278th St",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330312745",
            "country_code": "US",
            "telephone_number": "786-253-9513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEZ",
        "first_name": "BORIS",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-29",
        "last_updated": "2021-12-07",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11000018",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derma Beauty Spa Medical Clinic
• Diamond Counseling Services LLC
• Diamond Wellness & Med Center LLC
• Diamond Wellness & Med Center LLC
• Diez Medical LLC
• Dolphin Rehab Center
• Dolphin Rehab Center Inc
• Doral Dental Studio, Inc
• Doral Med and Rehab
• Andres Duarte

• Family Medicine Physician in Sweetwater, FL
• Providers in Sweetwater, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.