MR. JESUS EDGARDO DIAZ (NPI# 1497122022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497122022 |
| Entity Type | Individual |
| Full Name | MR. JESUS EDGARDO DIAZ |
| Practice Address |
1150 45th St Room L-200 West Palm Beach FL 33407-2361 |
| Practice Telephone | 5615145360 |
| Practice Fax Number | 5615145550 |
| Mailing Telephone | 5615145360 |
| Mailing Fax Number | 5615145550 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QL0900X |
Spec/Tech, Pathology Specialization: Laboratory Management |
SU28604 | FL | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 030448400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821352196 | Jesus Manuel Diaz Jr. | Chiropractor | 9408 Grant Ave, Suite 202, Manassas, VA 20110-5511 | 2012-07-01 |
| 1477889244 | Jesus Mario Diaz Jr. | Health Educator | 3320 Sw 97th Ct, Miami, FL 33165-3057 | 2009-10-28 |
| 1669519898 | Jesus Mario Diaz | Hearing Instrument Specialist | 8870 Sw 40th St, Suite #7, Miami, FL 33165-5465 | 2007-01-30 |
| 1730666413 | Jesus Esteban Diaz | Licensed Vocational Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2018-07-25 |
| 1750524443 | Jesus Diaz | Anesthesiology | 2411 Holmes St, Umkc School of Medicine Residency Program, M1-210, Kansas City, MO 64108-2741 | 2009-04-12 |
| 1518164862 | Jesus Rafael Diaz | Radiology | 4815 Alameda Ave, El Paso, TX 79905-2705 | 2007-06-29 |
| 1245435551 | Jesus Diaz | Counselor | 130 W Victoria St, Gardena, CA 90248-3523 | 2007-06-18 |
| 1740496892 | Jesus Antonio Diaz | Dentist | 7000 W 12th Ave, Suite 6, Hialeah, FL 33014-5154 | 2007-05-15 |
| 1306885926 | Jesus Victoriano Diaz | Nurse Anesthetist, Certified Registered | 1400 Nw 12th Ave, Anesthesia Department, Miami, FL 33136-1003 | 2006-06-06 |
| 1326009515 | Jesus Antonio Diaz | Internal Medicine | 4203 Belfort Rd Ste 345, Jacksonville, FL 32216-1469 | 2006-03-29 |
| Street Address |
1150 45TH ST ROOM L-200 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33407-2361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649245168 | Elaine King Mitchell | Nurse Practitioner | 1150 45th St, West Palm Beach, FL 33407-2361 | 2006-02-19 |
| 1245886779 | Corina Hardcastle | Dental Hygienist | 1150 45th St, West Palm Beach, FL 33407-2361 | 2019-08-12 |
| 1053978387 | William C Draper | Student in an Organized Health Care Education/Training Program | 1150 45th St, West Palm Beach, FL 33407-2361 | 2019-05-22 |
| 1225691116 | Karen Hirsch | Social Worker | 1150 45th St, West Palm Beach, FL 33407-2361 | 2019-04-17 |
| 1992264519 | Anna Balieiro Martins | Dental Hygienist | 1150 45th St, West Palm Beach, FL 33407-2361 | 2019-03-13 |
| 1518449313 | Marjorie Collins | Nurse Practitioner | 1150 45th St, West Palm Beach, FL 33407 | 2018-08-29 |
| 1578049383 | Vernadette Fisher | Nurse Practitioner | 1150 45th St, West Palm Beach, FL 33407-2361 | 2018-07-15 |
| 1699220277 | Alisha Christie Elizabeth Azemar | Nurse Practitioner | 1150 45th St, West Palm Beach, FL 33407 | 2016-08-24 |
| 1902201981 | Johanne Eustache Saint Louis | Nurse Practitioner | 1150 45th St, West Palm Beach, FL 33407-2361 | 2014-11-03 |
| 1528475183 | Korita Johnson | Nurse Practitioner | 1150 45th St, West Palm Beach, FL 33407-2361 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252924 | Tenet Florida Physician Services II, LLC | Durable Medical Equipment & Medical Supplies | 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 | 2020-07-09 |
| 1083248520 | Robin Erickson, Ph.d., Inc. | Clinic/Center | 2151 45th St.# 200, West Palm Beach, FL 33407 | 2020-02-24 |
| 1487203428 | Donmar Health Services, LLC | Home Health | 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 | 2019-09-11 |
| 1962064071 | Sofia Thomas | Nurse Practitioner | 927 45th St Ste 102, Mangonia Park, FL 33407 | 2019-06-28 |
| 1093294803 | Physical Therapy Now of Mangonia Park | Clinic/Center | 1748 45th St, West Palm Beach, FL 33407 | 2018-08-13 |
| 1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
| 1942786637 | Frantz Lamour | Counselor | 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 | 2018-07-16 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
| 1225530140 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5851 Corporate Way, West Palm Beach, FL 33407 | 2018-03-07 |
| Find all providers in zip 33407 | ||||
| Taxonomy Code | 246QL0900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Laboratory Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841852308 | Farhan Naviwala | Spec/Tech, Pathology | 4700 N Hiatus Rd Ste 353, Sunrise, FL 33351-7905 | 2019-07-05 |
| 1912297466 | Beverly Clapp | Spec/Tech, Pathology | 3123 Nw 27th Ave, Gainesville, FL 32605-2760 | 2011-04-17 |
| 1174807531 | Ayyamperumal Jeyaprakash | Spec/Tech, Pathology | 5318 Sw 91st Ter, Suite B, Gainesville, FL 32608-8125 | 2011-10-04 |
| 1396984712 | Beth Anne Dibiasio | Spec/Tech, Pathology | 4800 Sw 35th Dr, Core Lab, Rm 1106, Gainesville, FL 32608 | 2009-02-09 |
| 1033300512 | John L Bray | Spec/Tech, Pathology | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2007-08-08 |
| City | WEST PALM BEACH |
| Zip Code | 33407 |
Please comment or provide details below to improve the information on MR. JESUS EDGARDO DIAZ.
| 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.