GUSTAVO DIAZ JR. (NPI# 1588147193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588147193 |
| Entity Type | Individual |
| Full Name | GUSTAVO DIAZ JR. |
| Credential | NP |
| Practice Address |
6050 W 20th Ave Hialeah FL 33016-2605 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 3052241511 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2019-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | ARNP9357693 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9357693 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164599825 | Gustavo Adolfo Diaz | Otolaryngology | 411 N Section St Ste 5, Fairhope, AL 36532-2650 | 2006-11-29 |
| 1538122635 | Gustavo A. Diaz | Emergency Medicine | 1513 Fremont Blvd, E1, Seaside, CA 93955-4319 | 2006-04-10 |
| 1730123977 | Gustavo A Diaz | Physician Assistant | 911 E. 20th St., Ste. 300, Sioux Falls, SD 57105-1045 | 2006-06-16 |
| Street Address |
6050 W 20TH AVE |
| City | HIALEAH |
| State | FL |
| Zip Code | 33016-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679057046 | Sarah Michelle Spangler | Nurse Practitioner | 6050 W 20th Ave, Hialeah, FL 33016-2605 | 2018-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450580 | Yenly Hernandez Arrieta | Behavior Technician | 6550 West 22 Court, Hialeah, FL 33016 | 2020-09-03 |
| 1952929028 | Live Mental Care Inc | Community/Behavioral Health | 8040 Nw 95th St., Unit 226, Hialeah Gardens, FL 33016 | 2020-07-06 |
| 1497375059 | Lisset Sirven | Student in an Organized Health Care Education/Training Program | Palmetto General Hospital, 2001 W 68th St, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-23 |
| 1386264331 | Zahid Chaudhry | Student in an Organized Health Care Education/Training Program | 2001 W 68th Street, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-20 |
| 1386285021 | Monica Hurtado | Behavior Technician | 2480 W 67th Pl # 22, Hialeah, FL 33016 | 2019-10-03 |
| 1346892783 | Yamile Blanco Rodriguez | Behavior Technician | 2265 W 55th St, Hialeah, FL 33016 | 2019-07-16 |
| 1669938197 | Althea Aesthetics & Medical Arts Center | Pathology | 14160 Nw 77th Court., Suite 100, Miami Lakes, FL 33016 | 2019-02-20 |
| 1497226096 | Dominick Maurici | Physical Therapy Assistant | 9905 Nw 79 Ave, Hialeah Gardens, FL 33016 | 2018-12-09 |
| 1871061283 | Lazaro Teresa-calleja Jr. | Nurse Practitioner | 2715 West 73 Pl, Hialeah, FL 33016 | 2018-11-05 |
| 1245719640 | Yagna Elena Martinez La Fe | Nurse Practitioner | 7191 W 24th Ave Apt 56, Hialeah, FL 33016 | 2018-08-07 |
| Find all providers in zip 33016 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385516 | Beatriz Oliva | Nurse Practitioner | 5380 W 24th Ave, Hialeah, FL 33016-4005 | 2020-10-30 |
| 1437758307 | Yoandris Maikel Lorente Milan | Nurse Practitioner | 1199 W 35th St Apt 203, Hialeah, FL 33012-4983 | 2020-10-22 |
| 1912505629 | Mariela Rios | Nurse Practitioner | 4395 W 12th Ln Apt D, Hialeah, FL 33012-5910 | 2020-10-14 |
| 1720685514 | Antonio Javier Sanchez Gonzalez | Nurse Practitioner | 7000 W 12th Ave Ste 21-22, Hialeah, FL 33014-5154 | 2020-10-05 |
| 1780281501 | Maria Del Carmen Leon Padilla | Nurse Practitioner | 7270 Nw 174th Ter Apt 203, Hialeah, FL 33015-7276 | 2020-10-05 |
| 1144837634 | Ailin Guada | Nurse Practitioner | 17755 Nw 87th Ct, Hialeah, FL 33018-6604 | 2020-09-28 |
| 1972110765 | Eduardo Miguel Padilla Berdugo | Nurse Practitioner | 1085 W 27th St Apt 4, Hialeah, FL 33010-1160 | 2020-09-26 |
| 1619583309 | Merlen Caridad Bryant | Nurse Practitioner | 4340 East 9 Court, Hialeah, Hialeah, FL 33013-3301 | 2020-09-18 |
| 1801401617 | Nicola Marzouca | Nurse Practitioner | 20042 W Oakmont Cir, Hialeah, FL 33015-2054 | 2020-09-09 |
| 1083227409 | Judith Penichet Alvarez | Nurse Practitioner | 6248 Nw 171st St, Hialeah, FL 33015-4674 | 2020-08-25 |
| Find all providers in HIALEAH | ||||
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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.