Active NPI
Luis Alonso Diaz-Rosario, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Tampa, FL
National Provider Identifier
1902920614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME83032
- Practice address
- 4225 E Fowler Ave
Tampa, FL 33617-2026 - Phone
- (813) 972-7100
- Fax
- (813) 972-8267
- NPI assigned
- Mar 19, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME83032 | FL | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 050356 | GA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 80068 | MA |
Addresses
Primary practice location
4225 E Fowler Ave
Tampa, FL 33617-2026
Mailing address
34852 Fairview Heights Rd
Zephyrhills, FL 33541-7745
Phone (813) 787-9585
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050356 | GA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 80068 | MA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameripath Florida LLC | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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.
-
- Clinical Medical Laboratory
- Pompano Beach, FL
- NPI 1952381477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902920614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34852 FAIRVIEW HEIGHTS RD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335417745",
"telephone_number": "813-787-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 E FOWLER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336172026",
"telephone_number": "813-972-7100",
"fax_number": "813-972-8267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ-ROSARIO",
"first_name": "LUIS",
"middle_name": "ALONSO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME83032",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "050356",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MA",
"license": "80068",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.