Individual provider Active NPI

Daniel Diez, PHYSICIAN/MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1871516906
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0065528 Issued in FL
Practice address
11880 SW 40TH St
Suite 218
Miami, FL 33175-3584
Phone
(305) 552-5792
Fax
(305) 552-6119
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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 ME0065528 FL Primary

Addresses

Primary practice location

11880 SW 40TH St
Suite 218
Miami, FL 33175-3584

Mailing address

11880 SW 40TH St
Suite 216
Miami, FL 33175-3584
Phone (305) 552-5792

Other identifiers 1

IdentifierTypeStateIssuer
376133900MedicaidFL

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
I20070209000178 FL Practitioner - Internal Medicine 5698777316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11880 SW 40TH St
Suite 219
Miami, FL 33175-3574
Phone (305) 552-5792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0065528FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Diez MD PA Internal Medicine CurrentSince Aug 2, 2006 Accepting new patients

Locations

11880 SW 40th St
Ste 216
Miami, FL 33175
Phone (305) 223-2930

11880 SW 40th St
Ste 218
Miami, FL 33175
Phone (305) 229-9899

11880 SW 40th St
Ste 219
Miami, FL 33175
Phone (305) 221-9921

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1871516906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 SW 40TH ST",
            "address_2": "SUITE 216",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753584",
            "telephone_number": "305-552-5792",
            "fax_number": "305-552-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 SW 40TH ST",
            "address_2": "SUITE 218",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753584",
            "telephone_number": "305-552-5792",
            "fax_number": "305-552-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEZ",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHYSICIAN/MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0065528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376133900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.