Active NPI
Diego Leonardo Zapata Grisales, APRN
- Primary Care Nurse Practitioner
- Pembroke Pines, FL
National Provider Identifier
1871252379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN9428025
- Practice address
- 18503 Pines Blvd Ste 311
Pembroke Pines, FL 33029-1406 - Phone
- (544) 992-5059
- Fax
- (855) 770-4383
- NPI assigned
- Dec 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN9428025 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | RN9428025 | FL | Primary |
Addresses
Primary practice location
18503 Pines Blvd Ste 311
Pembroke Pines, FL 33029-1406
Mailing address
9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (865) 303-8207
Other names 1
- Diego L Zapata
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Diegoleonardo90@hotmail.com | ||
| CONNECT URL | Diegoleonardo90@hotmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9428025 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Health, LLC | Past | Accepting new patients |
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.
-
- Gastroenterology Physician
- Pembroke Pines, FL
- NPI 1457026932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1871252379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 S DADELAND BLVD STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331562866",
"telephone_number": "865-303-8207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18503 PINES BLVD STE 311",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330291406",
"telephone_number": "544-992-5059",
"fax_number": "855-770-4383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAPATA GRISALES",
"first_name": "DIEGO",
"middle_name": "LEONARDO",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-12",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "RN9428025",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "RN9428025",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Diegoleonardo90@hotmail.com",
"affiliation": "N",
"address_1": "6347 NW 39th Ct",
"city": "Coral Springs",
"state": "FL",
"country_code": "US",
"postal_code": "330673212",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Diegoleonardo90@hotmail.com",
"affiliation": "N",
"address_1": "11182 royal palm blvd",
"city": "Coral springs",
"state": "FL",
"country_code": "US",
"postal_code": "33065",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DIEGO",
"last_name": "ZAPATA",
"middle_name": "L",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.