Jose Diaz
M.D. | Pediatric Critical Care Medicine | Male
Jose Diaz, M.D. is a Fort Myers, Florida based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Jose Diaz is
9981 S Healthpark Dr Fl Dr4, Fort Myers, Florida - 33908-3618. He can be contacted on phone at
239-343-5651 and fax number 239-343-5652.
Jose Diaz is a sole proprietor of his business.
NPI number (Unique professional ID) for Jose Diaz is
1295778272 which was assigned by NPPES on 14 Jun, 2006 and it was last updated on 04 Apr, 2022.
Jose Diaz license number is
ME0085425 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Florida.
Jose Diaz is 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.
Complete Profile:
Jose Diaz basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Jose Diaz |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Jose Diaz address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9981 S Healthpark Dr Fl Dr4
Fort Myers, FL, 33908-3618
United States |
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| Phone Number : | 239-343-5651 |
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| Fax Number : | 239-343-5652 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295778272 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Jun, 2006 |
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| Last Updated On : | 04 Apr, 2022 |
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Medicare Participation:
Jose Diaz participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2365599891 |
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| Medicare Enrollment ID : | I20090420000439 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1987 |
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| Accepts Medicare? | Yes. Jose Diaz accepts medicare insurance. |
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Group Practice Association:
Jose Diaz is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jose Diaz is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Lee Memorial Health System | 8729996608 | 925 | 2780 Cleveland Ave
Fort Myers, FL - 339015817 | Yes |
| Lee Memorial Health System | 8729996608 | 925 | 9981 S Healthpark Dr
Fort Myers, FL - 339083618 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jose Diaz are as mentioned. Primary taxonomy code for Jose Diaz, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | ME0085425 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Jose Diaz such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 265196300 | MEDICAID | FL | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT
(Direct Messaging Address) | jdiaz6091@Direct.leememorial.org
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|
| 2776 CLEVELAND AVE,
FORT MYERS, FL, 33901-5864
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 2147
Fort Myers, FL, 33902-2147
United States |
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| Phone Number : | 239-343-5651 |
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| Fax Number : | 239-343-5652 |
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Business Location:
Patients can refer following map for directions to
Jose Diaz practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.