NPIMap

Individual provider Active NPI

Jay Diaz, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1992282313
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9409905 Issued in FL
Practice address
3415 W 100TH Ter
Hialeah, FL 33018-2103
Phone
(786) 203-3794
NPI assigned
Jul 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN9409905 FL Primary

Addresses

Primary practice location

3415 W 100TH Ter
Hialeah, FL 33018-2103

Mailing address

3415 W 100TH Ter
Hialeah, FL 33018-2103
Phone (786) 203-3794

Other identifiers 1

IdentifierTypeStateIssuer
101148600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190710000356 FL Practitioner - Nurse Practitioner 6204161557 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Medical Services - Cardiology Division LLCGroup PAC ID 0244696581, 10 clinicians
Aldo H Martinez Fleites MD PAGroup PAC ID 5496870859, 5 clinicians

Practice addresses (Care Compare)

8260 W Flagler St
Suite 1a
Miami, FL 33144-2069
Phone (786) 715-9183

8532 NW 168TH Ter
Suite 304
Miami Lakes, FL 33016-6162
Phone (305) 363-2889

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Homestead Hospital Hospital, Homestead, FL, CCN 100125
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9409905FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services - Cardiology Division LLC Single Specialty CurrentSince Mar 2, 2024 Accepting new patients
Roberto Polanco MD PA Single Specialty CurrentSince Mar 1, 2022 Accepting new patients
Matthew Taub MD PA Single Specialty CurrentSince Feb 26, 2024 Accepting new patients
Victor Lopez de Mendoza, MD PLLC Single Specialty CurrentSince Dec 24, 2021 Accepting new patients
Aldo H Martinez Fleites MD PA Single Specialty CurrentSince Jan 1, 2024 Accepting new patients

Locations

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

11760 SW 40th St
Ste 701
Miami, FL 33175
Phone (305) 227-9339

8501 SW 124th Ave
Ste 102A
Miami, FL 33183
Phone (305) 228-4422

3661 S Miami Ave
Ste 901
Miami, FL 33133
Phone (305) 856-5057

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

12309 Pembroke Rd
Pembroke Pines, FL 33025
Phone (954) 392-4750

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

Interoperability endpoints

  • Direct secure messaging: jdiaz94735@direct.med.miami.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1992282313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 W 100TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330182103",
            "telephone_number": "786-203-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 W 100TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330182103",
            "telephone_number": "786-203-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JAY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9409905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101148600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.