Michael Diaz M.D. P.a.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

MICHAEL DIAZ M.D. P.A.

Practice address

1513 S Harbor City Blvd
Melbourne, FL 32901-4681

Phone

(321) 951-2639

Fax

(321) 914-0938

NPI assigned

Aug 26, 2016

Organization subpart

No

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

Authorized official

Name

Michael Diaz, MDNPI 1295748176

Title

Owner/Physician

Phone

(321) 951-2639

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Diaz, MD

  • Specialist
  • Melbourne, FL
  • NPI 1295748176

  FL

  Medicare reassignment NPD Authorized official
• Kaete Alexandra Archer, MD

  • Otolaryngology Physician
  • Defiance, OH
  • NPI 1457670424

  FL

  Medicare reassignment

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1962958397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN",
            "address_2": "STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517176",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014681",
            "telephone_number": "321-951-2639",
            "fax_number": "321-914-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DIAZ M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "321-951-2639",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irina S Mezheritskiy, M.D.
• James Mezheritskiy, PHARM.D
• Miami First Assist, LLC
• Michael Alan Shapiro MD PA
• Michael C. Ianniello, DO
• Kaitlyn Monique Michael
• Joshua Adam Seth Michaelman, PA-C
• Michelle'S Therapies Corp
• Carlotta Mickel Lowenstein, MA, SLP
• Amy Grace Mickle

• All providers in Melbourne, FL
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.