JESUS DIAZ RODRIGUEZ (APRN) – Family Nurse Practitioner, NPI 1548794878

JESUS DIAZ RODRIGUEZ (APRN) is a healthcare provider. based in Miami, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11007967 (FL). The NPI Number for JESUS DIAZ RODRIGUEZ (APRN) is 1548794878

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JESUS DIAZ RODRIGUEZ (APRN)
NPI
1548794878
Phone
(786) 369-6579
Address
8160 SW 162ND PATH
Enumeration Date
13 April 2017
Last Update Date
20 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
3678019650
Group Practice PAC ID
6305256678
Professional Enrollment ID
I20240725004600
Address ID
FL331735492MI9415XDRXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

24,500 NURSE PRACTITIONER in FL

Provider Addresses for JESUS DIAZ RODRIGUEZ (APRN)

  • 8160, Southwest 162nd Path, Miami-Dade County, Florida, 33193, United States

    MIAMI, FL 331935116

    Phone: (786) 369-6579

    Fax: (786) 536-9833

    Type: Mailing

  • 1190 NW 95 ST, SUITE 104

    MIAMI, FL 331503319

    Phone: (786) 369-6579

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-25

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240725004600INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33193)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305256678View full group profile
NameSpecialtyState
P O D I A T R YFL
Nephrology, Internal MedicineFL
P O D I A T R YPA
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Physician AssistantFL

Reviews

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Frequently asked questions

Does JESUS DIAZ RODRIGUEZ (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JESUS DIAZ RODRIGUEZ (APRN) uses 1548794878.
Can I rely on JESUS DIAZ RODRIGUEZ (APRN) being an active provider?
As of the registry snapshot, JESUS DIAZ RODRIGUEZ (APRN) is marked active.
What is JESUS DIAZ RODRIGUEZ (APRN)'s primary classification?
Family Nurse Practitioner is the headline specialty for JESUS DIAZ RODRIGUEZ (APRN) here. Clinical services aligned with this taxonomy classification.
What address line appears for JESUS DIAZ RODRIGUEZ (APRN)?
JESUS DIAZ RODRIGUEZ (APRN)'s geographic hint is Miami, Florida in our summary view.
Why does JESUS DIAZ RODRIGUEZ (APRN) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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