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Four Miami PIP Fraud Conspirators Arrested

8/5/2015

Contact: Ashley Carr
(850) 413 – 2842
 
MIAMI, Fla. - The Florida Department of Financial Services’ Division of Insurance Fraud (DIF) today announced four South Florida arrests of individuals on charges related to their involvement in three separate personal injury protection (PIP) fraud schemes that resulted in the billing of more than $145,000 in fraudulent insurance claims.

Nayef Casas Diaz, owner of Miami PIP clinic M & N Rehabilitation Center, was arrested after allegedly organizing a staged accident scheme. Diaz reportedly paid each participant in the staged vehicle accident $1,000 to receive treatment from M & N and another clinic, Magic Hands Medical Service, for phony injury claims. As a result, fraudulent claims in excess of $63,000 were filed against the two insurance carriers.

In a separate undercover investigation led by DIF, Alexis A. Gonzalez, owner of Health Max Medical Center (HMMC) in Hialeah, and HMMC clinic employee Erick A. Perez were both arrested for their involvement in a PIP fraud scheme. Both are alleged to have directed an undercover DIF agent posing as a patient to sign documents for treatment that were not rendered. Gonzalez compensated the undercover personnel with $1,000 for participating in the scheme which produced claims in excess of $11,000.

Vicente Ortiz Alpizar was also arrested for his participation in a staged accident that resulted in more than $70,000 in fraudulent claims. Alpizar went to A & J Rehabilitation Center and D & J Rehabilitation Center, both located in Miami, to fraudulently receive unnecessary treatments following the staged accidents. DIF has now made 15 arrests for five different staged accidents involving redundant rehabilitation services provided by the two clinics for profit.  Included in those additional arrests were the clinic owner and a runner from A & J Rehabilitation and two employees from D & J Rehabilitation, including a massage therapist.

All four subjects were booked into Turner Guilford Knight Correctional Facility on charges of Insurance Fraud and Grand Theft. Gonzalez, Perez, and Diaz also received charges of organized scheme to defraud. These cases are being prosecuted by the office of Miami-Dade County State Attorney Katherine Fernandez Rundle where if convicted, they each could face up to 15-30 years in prison.
 
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Chief Financial Officer Jeff Atwater, a statewide elected official, oversees the Department of Financial Services. CFO Atwater’s priorities include fighting financial fraud, abuse and waste in government, reducing government spending and regulatory burdens that chase away businesses, and providing transparency and accountability in spending. Follow the activities of the Department on Facebook (FLDFS) and Twitter (@FLDFS).