# JOSE JUAN DIAZ DO PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447595533
- **Authorized official:** JOSE JUAN DIAZ (DO)
- **Authorized official phone:** (954) 564-3200

## Contact information

- **Practice address:** 150 NW 70TH AVE STE 3, PLANTATION, FL 33317-2911
- **Practice address phone:** (954) 564-3200
- **Practice address fax:** (954) 653-9188
- **Mailing address:** 150 NW 70TH AVE STE 3, PLANTATION, FL 33317-2911
- **Mailing address phone:** (954) 564-3200
- **Mailing address fax:** (954) 653-9188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |

## Other

- **Enumeration date:** 11/30/2012
- **Last updated:** 10/13/2026