Individual provider Active NPI

Diamina Molina Vidal, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sweetwater, FL
National Provider Identifier
1861970428
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9423055 Issued in FL
Practice address
1414 NW 107TH Ave Ste 301
Sweetwater, FL 33172-2742
Phone
(305) 783-9480
NPI assigned
Aug 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 9423055 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9423055 FL Primary

Addresses

Primary practice location

1414 NW 107TH Ave Ste 301
Sweetwater, FL 33172-2742

Mailing address

3150 NW 43Rd St
Miami, FL 33142-4447
Phone (786) 474-7632

Other practice location 1

1840 W 49th St Ste 729
Hialeah, FL 33012-2973
Phone (786) 370-0545

Other practice location 2

7480 SW 40th St Ste 430
Miami, FL 33155-6630
Phone (786) 536-4266

Other practice location 3

12030 SW 129th Ct Ste 103
Miami, FL 33186-4584
Phone (786) 701-8892

Other practice location 4

5803 NW 151st St Ste 107
Miami Lakes, FL 33014-2473
Phone (786) 320-4712

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
I20190207001164 FL Practitioner - Nurse Practitioner 0143568626 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kendall South Rehab IncGroup PAC ID 4587083217, 3 clinicians
Genesis Wound Care Center LLCGroup PAC ID 7517358575, 11 clinicians
Pine Island Medical IncGroup PAC ID 4082035035, 6 clinicians
Ajandnd CorpGroup PAC ID 2567873524, 5 clinicians

Practice addresses (Care Compare)

4689 Ponce de Leon Blvd
Suite 200
Coral Gables, FL 33146-2133
Phone (305) 491-9169

4995 NW 72ND Ave
Suite 406
Miami, FL 33166-5643
Phone (786) 290-6123

7480 SW 40TH St
Suite 430
Miami, FL 33155-6630
Phone (786) 606-9387

9350 SW 72ND St
Suite 116
Miami, FL 33173-3245
Phone (305) 992-9768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9423055FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Blue Medical Clinic LLC Single Specialty CurrentSince Sep 9, 2025 Accepting new patients
Vidal Healthcare Center Single Specialty CurrentSince Jul 29, 2025 Accepting new patients
Genesis Wound Care Center LLC Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Aj&ND Corp Single Specialty CurrentSince Sep 2, 2025 Accepting new patients
Pine Island Medical Inc Single Specialty CurrentSince Mar 24, 2025 Accepting new patients
South Medical Center Group Corp Single Specialty CurrentSince Jun 30, 2025 Accepting new patients
Ninojesus Medical Center LLC Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Moya Care Corp Single Specialty CurrentSince Jul 29, 2025 Accepting new patients
Blue D Class Medspa & Therapy Inc Single Specialty CurrentSince May 15, 2026 Accepting new patients
Health Discovery Medical Center LLC Single Specialty CurrentSince Jun 20, 2025 Accepting new patients
Jesucristo Medical Group LLC Single Specialty Past Accepting new patients
Blue D Class Medspa & Therapy Inc PastSince May 15, 2026 Accepting new patients

Locations

7600 W 20th Ave
Ste 101
Hialeah, FL 33016
Phone (305) 456-4096

9350 Sunset Dr
Ste 116
Miami, FL 33173
Phone (305) 273-7228

7480 SW 40th St
Ste 430
Miami, FL 33155
Phone (786) 536-4266

12485 SW 137th Ave
Ste 204
Miami, FL 33186
Phone (305) 614-1266

4995 NW 72nd Ave
Ste 406
Miami, FL 33166
Phone (305) 603-8410

3009 NW 7th St
Miami, FL 33125
Phone (786) 963-5892

7154 SW 47th St
Ste 7154A
Miami, FL 33155
Phone (786) 210-3595

860 NW 42nd Ave
Ste 304
Miami, FL 33126
Phone (786) 247-6321

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Caring for Health Home Care, Inc.Hialeah, FL, CCN 109251 Home health agency W-2 Managing Employee (25%) Sep 19, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1861970428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 NW 43RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331424447",
            "telephone_number": "786-474-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NW 107TH AVE STE 301",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722742",
            "telephone_number": "305-783-9480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 W 49th St Ste 729",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330122973",
            "country_code": "US",
            "telephone_number": "786-370-0545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7480 SW 40th St Ste 430",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331556630",
            "country_code": "US",
            "telephone_number": "786-536-4266",
            "fax_number": "786-536-9230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12030 SW 129th Ct Ste 103",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331864584",
            "country_code": "US",
            "telephone_number": "786-701-8892",
            "fax_number": "786-701-8894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5803 NW 151st St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142473",
            "country_code": "US",
            "telephone_number": "786-320-4712",
            "fax_number": "786-238-7710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA VIDAL",
        "first_name": "DIAMINA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-05",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "9423055",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9423055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, FL

Sources for this page

Verify at the official NPI Registry.