Madeline Diaz, MA, DSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH3937 Issued in FL

Practice address

932 Ponce de Leon Blvd
Coral Gables, FL 33134-3010

Phone

(308) 999-5251

Fax

(786) 558-7774

NPI assigned

Jun 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Centro Terapeutico Equilibrium

  • Substance Abuse Rehabilitation Facility
  • Coral Gables, FL
  • NPI 1801491543
  NPD

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1972172591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343010",
            "telephone_number": "305-999-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343010",
            "telephone_number": "308-999-5251",
            "fax_number": "786-558-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MADELINE",
        "name_prefix": "Ms.",
        "credential": "MA, DSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH3937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "IMH3937",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bania Diaz
• Carmen B Diaz, PHD
• Ernesto Diaz, MD
• John Diaz, RBT
• Krystal Ann Diaz, ARNP
• Marta Maria Diaz
• Sergio Diaz
• Sofia Diaz
• Soraya Diaz, COTA
• Yiranda Diaz

• Mental Health Counselor in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.