CHRISTIAN ALEXANDER DIAZ MD
NPI 1477306819
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since April 08, 2024PECOS Enrolled
1611 NW 12TH AVE, MIAMI, FL 33136(305) 355-1122 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 26, 2024, Apr 8, 2024 (2 updates tracked since 2024).

About Christian Alexander Diaz Md NPPES

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

CHRISTIAN ALEXANDER DIAZ MD (NPI 1477306819) is an individual student in an organized health care education/training program in Miami, Florida, licensed in Florida (TRN39916) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Weston.

NPPES Registry Identity

NPI1477306819
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHRISTIAN ALEXANDER DIAZCredential: MD
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address2950 Cleveland Clinic BlvdWeston, FL 33331-3609 · (954) 659-6161 · Fax (954) 659-5425
Sole ProprietorYes
Enumeration DateApril 8, 2024
Last NPPES UpdateApril 21, 20252 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1477306819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License✔ Licensed in FL · TRN39916
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1611 NW 12TH AVE, Miami, FL 33136

Secondary Practice Location 1

Location 12950 Cleveland Clinic BlvdWeston, FL 33331-3609 · Phone (954) 659-5000 · Fax (954) 659-5622

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian Alexander Diaz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Christian Diaz's NPI number?

The NPI number for Christian Diaz is 1477306819. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Christian Diaz located?

Christian Diaz practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 355-1122.

What is Christian Diaz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Christian Diaz enrolled in Medicare?

Yes. Christian Diaz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christian Diaz was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.