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Deactivated NPI 1659327310 Deactivated / Inactive NPI Male Practitioner

Dr. Luis Wilfredo Diaz , DMD

Dentist - General Practice • Viera, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Luis Diaz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 25, 2006
NPI Deactivation Date January 30, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Luis Diaz, DMD was a registered Dentist - General Practice practicing in Viera, FL. Throughout an active medical career spanning 19 years, Dr. Diaz provided care at the practice location at 2900 VETERANS WAY until profile deactivation on 2025-01-30.

Practice Location & Contact Primary Location

Practice Address

2900 Veterans Way

Viera, FL 329408007

Telephone 3216373788
Associated Practice Facility / Clinic
🏢 Sandra Teuber Facility NPI 1730155185

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Viera, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Viera, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 18815

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. William Savino , PharmD

Pharmacist - Ambulatory Care

NPI 1003519174

Doctor of Pharmacy (Pharm.D.)

Dr. Ranae Reed , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1013085133

Doctor of Pharmacy (Pharm.D.)

Jorge Carbajosa , LCSW

Social Worker - Clinical

NPI 1013093632

Licensed Clinical Social Worker

Erin Caleb

Pharmacy Technician

NPI 1033356282
Douglas Bratholt , LCSW

Social Worker - Clinical

NPI 1033455076

Licensed Clinical Social Worker

NPI 1043644966

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 30, 2025

Record deactivated on January 30, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2900 VETERANS WAY, VIERA, FL 329408007 (Tel: 3216373788)

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Updated Business Mailing Address July 08, 2007

Registered at 1076 WILD FLOWER DR, MELBOURNE, FL 329408123

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Provider Name / Credentials Updated July 08, 2007

Recorded as LUIS DIAZ, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #18815 in OH)

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Initial NPI Registration & Enumeration May 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659327310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2006
Last Update: July 08, 2007
Deactivation Date: January 30, 2025

Mailing Address

1076 Wild Flower Dr

Melbourne, FL 329408123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.