MR. ALEXIS N DIAZ (NPI# 1811103351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811103351 |
| Entity Type | Individual |
| Full Name | MR. ALEXIS N DIAZ |
| Credential | M.S., I.T.D.S. |
| Practice Address |
4649 Ponce De Leon Blvd Ste 404 Coral Gables FL 33146-2121 |
| Mailing Address |
1550 S Dixie Hwy Ste 203 Coral Gables FL 33146-3034 |
| Practice Telephone | 7865369714 |
| Practice Fax Number | 7865369833 |
| Mailing Telephone | 7865369714 |
| Mailing Fax Number | 7865369833 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022190700 | 05 | |
| FL | 811568100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043832439 | Alexis Alexander Diaz | Student in an Organized Health Care Education/Training Program | Ave. 65 Infanteria, Carr.3, Km. 8.3, Carolina, PR 00985-6021 | 2020-05-08 |
| 1629685367 | Alexis Carpio Diaz | Behavioral Analyst | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2020-09-27 |
| 1457971483 | Alexis Diaz | Student in an Organized Health Care Education/Training Program | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-20 |
| 1609427277 | Alexis Sovan Diaz | Counselor | 1801 Park Court Pl Bldg H, Santa Ana, CA 92701-5028 | 2019-09-25 |
| 1013437565 | Alexis Nicole Diaz | Social Worker | 936 Broadway Fl 2, New York, NY 10010-8104 | 2017-06-26 |
| 1184073900 | Alexis Diaz | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2016-06-13 |
| 1568898757 | Alexis Diaz | Speech-Language Pathologist | 11251 Nw 20th St, Suite 118, Miami, FL 33172-1859 | 2013-09-19 |
| Street Address |
4649 PONCE DE LEON BLVD STE 404 |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33146-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528687506 | Daniel Tellez | Counselor | 4649 Ponce De Leon Blvd Ste 404, Coral Gables, FL 33146-2121 | 2020-04-10 |
| 1093343139 | Michelle Lorenzo | Counselor | 4649 Ponce De Leon Blvd Ste 404, Coral Gables, FL 33146-2121 | 2020-04-01 |
| 1235767609 | Samantha Campagna | Counselor | 4649 Ponce De Leon Blvd Ste 404, Coral Gables, FL 33146-2121 | 2020-03-31 |
| 1609390426 | Maylin Gonzalez | Counselor | 4649 Ponce De Leon Blvd Ste 404, Coral Gables, FL 33146-2121 | 2017-08-02 |
| 1043537160 | Abcs for Success, LLC | Counselor | 4649 Ponce De Leon Blvd Ste 404, Coral Gables, FL 33146-2121 | 2010-04-29 |
| 1730313859 | Soraya Fatima Melegi-diaz | Social Worker | 4649 Ponce De Leon Blvd Ste 404, Coral Gables, FL 33146-2121 | 2009-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751427 | Megan Gabrielle Mcleod | Dietitian, Registered | 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-07-15 |
| 1225596919 | Cami Cyan Marshall | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-03-12 |
| 1225596224 | Daniel Rodriguez | Specialist/Technologist | Knight Sport Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1134687122 | Nicholas Rice | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1396222436 | Julienne Cave | Nurse Practitioner | 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 | 2018-07-22 |
| 1891245379 | Michelle Marie Penaranda | Nurse Practitioner | 1299 Theo Dickinson Dr, Coral Gables, FL 33146 | 2016-10-10 |
| 1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
| 1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1437584455 | Amanda C Pina | Occupational Therapist | 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 | 2013-09-10 |
| Find all providers in zip 33146 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
| 1245641604 | Vivian Perez | Developmental Therapist | 401 Miracle Mile # 403, Coral Gables, FL 33134-4926 | 2014-05-19 |
| 1326509530 | Lysett Babocsai | Developmental Therapist | 5915 Ponce De Leon Blvd Ste 26, Coral Gables, FL 33146-2435 | 2019-03-29 |
| 1710431002 | Harry Louis Lopez | Developmental Therapist | 1550 S Dixie Hwy, Coral Gables, FL 33146-3078 | 2016-08-04 |
| 1386022838 | Natalia Pardey | Developmental Therapist | 1550 S Dixie Hwy Ste 203, Coral Gables, FL 33146-3034 | 2015-05-15 |
| 1801145198 | Alexandra Hawryluk | Developmental Therapist | 3000 Coral Way, 1413, Coral Gables, FL 33145-3243 | 2012-09-03 |
| 1215295795 | Mireya Yamilet Leon | Developmental Therapist | 401 Miracle Mile Ste 403, Coral Gables, FL 33134-4926 | 2012-05-02 |
| 1558629105 | Sandra D Delgado | Developmental Therapist | 401 Miracle Mile Ste 403, Coral Gables, FL 33134-4926 | 2012-05-01 |
| 1922366046 | Sailys Beatriz Morejon-fernandez | Developmental Therapist | 401 Miracle Mile Ste 403, Coral Gables, FL 33134-4926 | 2012-04-26 |
| 1831488121 | Florida Rehab Professionals Group, Inc. | Developmental Therapist | 401 Miracle Mile Ste 403, Coral Gables, FL 33134-4926 | 2011-04-07 |
| Find all providers in CORAL GABLES | ||||
| City | CORAL GABLES |
| Zip Code | 33146 |
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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.