NPI Code Detail JSON Logo

1336342187 NPI number — CARLOS CANOVA-DIAZ M.D

NPI Number: 1336342187
Health Care Provider/Practitioner: CARLOS CANOVA-DIAZ M.D

Information about “1336342187” NPI (CARLOS CANOVA-DIAZ M.D) exists in 1336342187 in HTML format HTML  |  1336342187 in plain Text format TXT  |  1336342187 in PDF (Portable Document Format) PDF  |  1336342187 in an XML format XML  formats.

NPI Number : 1336342187 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336342187",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CANOVA-DIAZ",
    "FirstName": "CARLOS",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "470 BILTMORE WAY STE 200B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CORAL GABLES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33134-5788",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-445-5515",
    "MailingAddressFaxNumber": "305-445-5518",
    "FirstLinePracticeLocationAddress": "470 BILTMORE WAY STE 200B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CORAL GABLES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33134-5788",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-445-5515",
    "PracticeLocationAddressFaxNumber": "305-445-5518",
    "EnumerationDate": "06/08/2007",
    "LastUpdateDate": "03/17/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "ME104666",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.