Individual provider Active NPI

Esteban J Diaz-Rivera, M.D, P.A

  • Nephrology Physician
  • Hialeah, FL
National Provider Identifier
1932156999
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME66676 Issued in FL
Practice address
777 E 25TH St
Suite 514
Hialeah, FL 33013
Phone
(305) 835-7502
Fax
(305) 835-7541
NPI assigned
May 27, 2006
Last updated
Aug 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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 ME0066676 FL
Nephrology Physician 207RN0300X ME66676 FL Primary

Addresses

Primary practice location

777 E 25TH St
Suite 514
Hialeah, FL 33013

Mailing address

777 E 25TH St
Suite 514
Hialeah, FL 33013-3825
Phone (305) 835-7502

Other identifiers 2

IdentifierTypeStateIssuer
27475AOtherFLPTAN
377911401MedicaidFL

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
I20050510001192 FL Practitioner - Internal MedicinePractitioner - Nephrology 9436199247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

777 E 25 St
Suite 206
Hialeah, FL 33013-3834
Phone (305) 835-7502

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0066676FLMDInternal Medicine Physician
ME66676FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Esteban J Diaz Rivera MD PA Single Specialty CurrentSince Mar 4, 1999 Accepting new patients

Locations

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

777 E 25th St
Ste 206
Hialeah, FL 33013
Phone (305) 396-9250

777 E 25th St
Ste 514
Hialeah, FL 33013
Phone (305) 835-7502

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1932156999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "address_2": "SUITE 514",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133825",
            "telephone_number": "305-835-7502",
            "fax_number": "305-835-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "address_2": "SUITE 514",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33013",
            "telephone_number": "305-835-7502",
            "fax_number": "305-835-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-RIVERA",
        "first_name": "ESTEBAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D, P.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0066676",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME66676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "27475A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377911401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.