MR. JESUS EDGARDO DIAZ
NPI 1497122022
Specialist/Technologist, Pathology - Laboratory Management in West Palm Beach, FL

Active since August 31, 2015
1150 45TH ST, ROOM L-200, WEST PALM BEACH, FL 33407(561) 514-5360(561) 514-5550 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jesus Edgardo Diaz NPPES

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

MR. JESUS EDGARDO DIAZ (NPI 1497122022) is an individual laboratory management provider in West Palm Beach, Florida, licensed in Florida (SU28604) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1497122022
Entity TypeIndividualMale
Primary Taxonomy246QL0900X
Provider Legal NameMR. JESUS EDGARDO DIAZ
Location Address1150 45TH ST, ROOM L-200West Palm Beach, FL 33407-2361
Mailing Address1150 45th St, Room L-200West Palm Beach, FL 33407-2361 · (561) 514-5360 · Fax (561) 514-5550
Fax(561) 514-5550
Sole ProprietorNo
Enumeration DateAugust 31, 2015
NPI 1497122022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Pathology · Laboratory ManagementTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246QL0900X
License Licensed in FL · SU28604
1150 45TH ST, West Palm Beach, FL 33407

Other Identifiers 2

Medicaid030448400FL
Medicare PINL9020FL

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.

Dietitian, Registered
1150 45TH ST, ROOM A-117
WEST PALM BEACH, FL 33407
Nurse Practitioner (Family)
1150 45TH ST
WEST PALM BEACH, FL 33407
Dietitian, Registered
1150 45TH ST
WEST PALM BEACH, FL 33407
Nurse Practitioner (Family)
1150 45TH ST
WEST PALM BEACH, FL 33407
Nurse Practitioner (Family)
1150 45TH ST
WEST PALM BEACH, FL 33407
Clinical Medical Laboratory
1150 45TH ST, ROOM L-200
WEST PALM BEACH, FL 33407
Nutritionist
1150 45TH ST
WEST PALM BEACH, FL 33407
Nurse Practitioner (Family)
1150 45TH ST
WEST PALM BEACH, FL 33407

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 Jesus Diaz's NPI number?

The NPI number for Jesus Diaz is 1497122022. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Jesus Diaz located?

Jesus Diaz practices at 1150 45th St Room L-200, West Palm Beach, FL 33407. The listed phone number is (561) 514-5360.

What is Jesus Diaz's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Laboratory Management, with taxonomy code 246QL0900X.

When was this NPI record last updated?

The NPPES record for Jesus Diaz was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.