Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Levi A. Diaz Menjivar, MD

Individual provider Internal Medicine Physician · NPI 1063907780

Levi A. Diaz Menjivar, MD is an Internal Medicine in Jacksonville, Florida. Qualified in 2014, 12 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Rhode Island.

Years since qualifying
12
Licensed in
FL, RI
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1201 Monument Rd Ste 200
Jacksonville, FL 32225-7428
Phone: (904) 727-5151
Fax: (904) 727-5180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 355 Prairie Ave, Providence, RI 02905-1928 — (401) 444-0570

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME169645 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD17791 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (FL)

Record details

NPI number1063907780
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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