Lazaro J Diaz Iglesias

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1561 Issued in FL

Practice address

730 NW 107TH Ave Ste 110
Miami, FL 33172-3104

Phone

(786) 636-1402

Fax

(786) 636-1403

NPI assigned

May 17, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Florida New Vision Inc

  • Community Health Clinic/Center
  • Miami, FL
  • NPI 1235719790
  Medicare reassignment NPD
• Medoc Improvement Corp

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1194665133
  NPD Authorized official

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1952048332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 AVE PONCE DE LEON STOP 37.5",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009175032",
            "telephone_number": "787-758-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 NW 107TH AVE STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723104",
            "telephone_number": "786-636-1402",
            "fax_number": "786-636-1403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3971 SW 8th St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331342950",
            "country_code": "US",
            "telephone_number": "305-249-1183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ IGLESIAS",
        "first_name": "LAZARO",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayuli Diaz Hernandez, SA-C
• Niurka Diaz Hernandez
• Ranses Diaz Hernandez
• Thalia Diaz Hernandez
• Yenisley Diaz Hernandez
• Ana Laura Diaz Infante
• Claudia Diaz Jimenez, APRN
• Tania Diaz Klintcharska, DMD
• Glenda Diaz la Fe
• Evelin Maria Diaz Labiste

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.