GUSTAVO JR. DIAZ (APRN) – Family Nurse Practitioner, NPI 1588147193
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for GUSTAVO JR. DIAZ (APRN)
14150 SW 136th St
Miami, FL 331865506
Phone: (786) 204-4600
Type: Location
Corporate Boulevard, Lafayette, Lafayette Parish, Louisiana, 70502, United States
LAFAYETTE, LA 705083870
Phone: (800) 893-9698
Type: Mailing
6050, West 20th Avenue, Hialeah, Miami-Dade County, Florida, 33016, United States
HIALEAH, FL 330162605
Phone: (305) 224-1511
Type: Location
6200 SUNSET DR STE 302
SOUTH MIAMI, FL 331434829
Phone: (786) 204-4600
Type: Mailing
14591 SW 26TH ST
MIAMI, FL 331758038
Phone: (786) 204-4600
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: 2018-11-29
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181129002454 | I | Nurse Practitioner | FL | TBD |
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.
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 33186)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NC | |
| Emergency Medicine | FL | |
| Emergency Medicine | FL | |
| Emergency Medicine | FL | |
| Emergency Medicine | FL | |
| Nurse Practitioner | FL | |
| Emergency Medicine | FL | |
| Emergency Medicine | FL | |
| Emergency Medicine | NJ | |
| Emergency Medicine | PA |
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