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DIEZ MEDICAL LLC
NPI 1407444730
Family Medicine in Sweetwater, FL

Active since January 04, 2021
1414 NW 107TH AVE STE 205, SWEETWATER, FL 33172(786) 253-9513(786) 933-6651 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2021, Jan 4, 2021 (2 updates tracked since 2021).

About Diez Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIEZ MEDICAL LLC (NPI 1407444730) is a healthcare organization registered as a family medicine in Sweetwater, Florida and active in the NPI registry since January 2021. The organization lists Boris D Diez, Manager, as its authorized official.

NPPES Registry Identity

NPI1407444730
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDIEZ MEDICAL LLC
Location Address1414 NW 107TH AVE STE 205Sweetwater, FL 33172-2741
Mailing Address16881 Sw 278th StHomestead, FL 33031-2745 · (786) 253-9513
Phone(786) 253-9513
Fax(786) 933-6651
Organization SubpartNo
Authorized OfficialBoris D DiezManager · (786) 253-9513
Enumeration DateJanuary 4, 2021
Last NPPES UpdateAugust 9, 20212 updates tracked since enumeration
NPPES CertifiedAugust 9, 2021
✔ NPI 1407444730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1414 NW 107TH AVE STE 205, Sweetwater, FL 33172
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Other Names 1

Other NameDiez Medical Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diez Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20210519001532Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Diez Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Boris Diez, APRN
Nurse Practitioner
NPI 1861969883
1414 NW 107TH AVE STE 205
Sweetwater, FL 33172
(786) 253-9513
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diez Medical LLC's NPI number?

The NPI number for Diez Medical LLC is 1407444730. It was assigned to this organization in the NPPES registry on January 4, 2021.

Where is Diez Medical LLC located?

Diez Medical LLC is located at 1414 NW 107th Ave Ste 205, Sweetwater, FL 33172. The listed phone number is (786) 253-9513.

What is Diez Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Diez Medical LLC enrolled in Medicare?

Yes. Diez Medical LLC is registered in the Medicare PECOS enrollment system.

When is Diez Medical LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Diez Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Diez Medical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Diez Medical LLC accept?

Health plans from AmeriHealth Caritas Next and Molina Healthcare list Diez Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diez Medical LLC was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.