NPIMap

Individual provider Active NPI

Carlos Rene Diaz, MD

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1881012557
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME131791 Issued in FL
Practice address
9380 SW 150TH Street
Suite 200
Miami, FL 33176
Phone
(786) 634-4991
Fax
(786) 361-1162
NPI assigned
Mar 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME131791 FL
Gastroenterology Physician 207RG0100X ME131791 FL Primary

Addresses

Primary practice location

9380 SW 150TH Street
Suite 200
Miami, FL 33176

Mailing address

5101 SW 8TH Street
Suite 200
Coral Gables, FL 33134-2442
Phone (305) 262-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170920003047 FL Practitioner - Internal Medicine 2163796764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastromed LLCGroup PAC ID 2365574621, 38 clinicians

Practice addresses (Care Compare)

9380 SW 150TH St
Suite 200
Miami, FL 33176-7979
Phone (786) 634-4991

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy38
Upper gastrointestinal (GI) endoscopy for acid reflux34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131791FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastromed, LLC Gastroenterology CurrentSince Mar 1, 2021 Accepting new patients
Homestead Endoscopy Center LLC PastSince Mar 1, 2021 Accepting new patients
Coral View Surgery Center, LLC Past Accepting new patients

Locations

5101 SW 8th St
Fl First
Coral Gables, FL 33134

5101 SW 8th St
Ste 200
Coral Gables, FL 33134
Phone (305) 262-6060

5101 SW 8th St
Coral Gables, FL 33134
Phone (305) 441-1570

434 Washington Ave
Homestead, FL 33030
Phone (786) 384-7101

8525 SW 92nd St
Ste D17
Miami, FL 33156
Phone (305) 270-0402

9380 SW 150th St
Ste 200
Miami, FL 33176
Phone (305) 270-0777

8390 W Flagler St
Ste 221
Miami, FL 33144
Phone (305) 226-5574

Interoperability endpoints

  • Direct secure messaging: carlos.diaz@gml.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1881012557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 SW 8TH STREET",
            "address_2": "SUITE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342442",
            "telephone_number": "305-262-6060",
            "fax_number": "305-262-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 SW 150TH STREET",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "786-634-4991",
            "fax_number": "786-361-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CARLOS",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2024-03-19",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME131791",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME131791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.