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General NPI Number Information
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NPI Number | 1922567890
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Entity Type | Individual
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Provider Name | PEDRO JOSE ONDINA-DIAZ MD
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Gender | Male
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 12301 LEXINGTON PARK DR APT 205
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City | WESTCHASE
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State | FL
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Zip | 33626-2733
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Country | US
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Telephone | 787-619-9401
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Fax | 813-916-2944
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Provider Business Mailing Address
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Address Line | 12301 LEXINGTON PARK DR APT 205
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City | WESTCHASE
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State | FL
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Zip | 33626-2733
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Country | US
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Telephone | 787-619-9401
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Fax | 813-916-2944
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101285672
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME158337
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 104750
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License Number State | GA
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