Provider Demographics
NPI:1922567890
Name:ONDINA-DIAZ, PEDRO JOSE (MD)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:JOSE
Last Name:ONDINA-DIAZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12301 LEXINGTON PARK DR APT 205
Mailing Address - Street 2:
Mailing Address - City:WESTCHASE
Mailing Address - State:FL
Mailing Address - Zip Code:33626-2733
Mailing Address - Country:US
Mailing Address - Phone:787-619-9401
Mailing Address - Fax:813-916-2944
Practice Address - Street 1:12301 LEXINGTON PARK DR APT 205
Practice Address - Street 2:
Practice Address - City:WESTCHASE
Practice Address - State:FL
Practice Address - Zip Code:33626-2733
Practice Address - Country:US
Practice Address - Phone:787-619-9401
Practice Address - Fax:813-916-2944
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012856722085R0202X
FLME1583372085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology