JOSE DIAZ (NPI# 1295778272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295778272 |
| Entity Type | Individual |
| Full Name | JOSE DIAZ |
| Credential | M.D. |
| Practice Address |
9981 S Healthpark Dr Suite 619 Fort Myers FL 33908-3618 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393435651 |
| Practice Fax Number | 2393435652 |
| Mailing Telephone | 2393435651 |
| Mailing Fax Number | 2393435652 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
ME0085425 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 265196300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771565 | Jose Alberto Diaz | Physician Assistant | Cond. Veredas Del Parque, 408 Blvd.media Luna Apt.4803, Carolina, PR 00987-4972 | 2020-05-12 |
| 1851870588 | Jose Diaz | Nurse Practitioner | 5404 E 135th St, Garfield Heights, OH 44125-3214 | 2018-08-13 |
| 1396191813 | Jose Diaz | Registered Nurse | I10 Calle 6, Urb Tamarindo 1, San Lorenzo, PR 00754 | 2016-05-13 |
| 1851521082 | Jose Fernando Diaz | Physician Assistant | 300 Stafford St Ste 101, Springfield, MA 01104-3581 | 2009-07-22 |
| 1649425265 | Jose Esteban Diaz | Dentist | 109 East 167th Street, Bronx, NY 10452-8204 | 2008-11-24 |
| 1760678510 | Jose A Diaz | Physician Assistant | 4200 Sw 152nd Ave, Miramar, FL 33027-3363 | 2007-09-14 |
| 1124211636 | Jose Luis Diaz | Internal Medicine | 5200 Sw 8th St Ste 205b, Coral Gables, FL 33134-2337 | 2007-08-20 |
| 1053525832 | Jose A Diaz | Pharmacist | Urb Veredas, #68 De Los Flamboyanes, Gurabo, PR 00778 | 2007-05-10 |
| 1629294939 | Jose Sigfredo Diaz | Psychiatry & Neurology | 118 Calle Lealtad, Mayaguez, PR 00680-6210 | 2007-04-17 |
| 1689708463 | Jose M Diaz | Dentist | 9950 Sw 107 Ave, Suite 201, Miami, FL 33176-1725 | 2007-03-15 |
| Street Address |
9981 S HEALTHPARK DR SUITE 619 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689331 | Rajendra Sunita Sharma | Specialist | 9981 S Healthpark Dr, Suite 279, Fort Myers, FL 33908-3618 | 2005-06-20 |
| 1477153229 | Evalenee Marie Feutz | Student in an Organized Health Care Education/Training Program | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-10-30 |
| 1487263794 | Jena Morrison | Nurse Practitioner | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-07-23 |
| 1053929950 | Melissa Anne Swartz | Psychologist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-07-16 |
| 1891311916 | Elvira Ayupova | Nurse Practitioner | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-06-24 |
| 1861014557 | Vanessa Rivera | Nurse Anesthetist, Certified Registered | 9981 S Healthpark Dr, Fort Myers, FL 33908-3620 | 2020-05-15 |
| 1942822879 | Jose Gabriel Lara | Anesthesiologist Assistant | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-05-14 |
| 1679193254 | Nicole Christine Brillembourg | Nurse Anesthetist, Certified Registered | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-04-23 |
| 1235759168 | Lisa Diana Bergh | Nurse Anesthetist, Certified Registered | 9981 S Healthpark Dr, Fort Myers, FL 33908-3620 | 2020-04-21 |
| 1679193601 | Jessica Robin Golda | Registered Nurse | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295034825 | Alexander Marcos Ortega | Pediatrics | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2011-03-22 |
| 1730176108 | Roberto Monge | Pediatrics | 9981 S Healthpark Dr, Suite 619, Fort Myers, FL 33908-3618 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578853 | Erica Stoller | Pediatrics | 1117 E Hallandale Beach Blvd Ste 1, Hallandale Beach, FL 33009-4488 | 2019-09-24 |
| 1629323001 | Hamza Saeed Elkhidir | Pediatrics | 11252 Sw Kingslake Cir, Port St Lucie, FL 34987-2761 | 2012-07-20 |
| 1629331004 | Natalie Victoria Roebuck Bishop | Pediatrics | 1600 S Andrews Ave Fl Picu7, Fort Lauderdale, FL 33316-2510 | 2012-06-20 |
| 1598061574 | Jennifer Christine Munoz Pareja | Pediatrics | 1611 Nw 12th Ave Fl 6006, Miami, FL 33136-1005 | 2011-02-08 |
| 1720382054 | Ricardo A Queiro | Pediatrics | 1421 Sorolla Ave, Coral Gables, FL 33134-3519 | 2010-12-30 |
| 1245534593 | Carmen E Ocampo Benavides | Pediatrics | 1420 Brickell Bay Dr, Apt #907, Miami, FL 33131-3606 | 2010-12-30 |
| 1114044146 | Chad D Scheller | Pediatrics | 3501 Johnson St Dept Of, Hollywood, FL 33021 | 2007-03-23 |
| 1942370416 | Pediatric Hospital Services of Southwest Florida | Pediatrics | 157 Dockside Cir, Weston, FL 33327-1101 | 2006-11-09 |
| 1861577256 | Mark Swanson | Pediatrics | 92 West Miller Street, Orlando, FL 32806 | 2006-10-26 |
| 1841374295 | Enzo Javier Garcia | Pediatrics | 11760 Sw 40th St Ste 722, Miami, FL 33175-8101 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.