Active NPI
Dora Del Carmen Diaz, MASSAGE THERAPIST
- Other Technician
- Homestead, FL
National Provider Identifier
1932432309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- MA37303
- Practice address
- 18781 SW 291St Ter
Homestead, FL 33030-3014 - Phone
- (305) 248-6695
- NPI assigned
- Sep 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | MA37303 | FL | Primary |
Addresses
Primary practice location
18781 SW 291St Ter
Homestead, FL 33030-3014
Mailing address
18781 SW 291St Ter
Homestead, FL 33030-3014
Phone (305) 248-6695
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA37303 | FL | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1932432309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18781 SW 291ST TER",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330303014",
"telephone_number": "305-248-6695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18781 SW 291ST TER",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330303014",
"telephone_number": "305-248-6695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "DORA",
"middle_name": "DEL CARMEN",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "FL",
"license": "MA37303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.