# CARLOS E.DIAZ

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

## Provider details

- **NPI number:** 1194118919
- **Authorized official:** MRS. ANNA THEISEN (ACCOUNT)
- **Authorized official phone:** (786) 475-3973

## Contact information

- **Practice address:** 8740 N KENDALL DR, 105, MIAMI, FL 33176-2212
- **Practice address phone:** (305) 270-2080
- **Practice address fax:** (305) 270-2012
- **Mailing address:** 8740 N KENDALL DR, 105, MIAMI, FL 33176-2212
- **Mailing address phone:** (305) 270-2080
- **Mailing address fax:** (305) 270-2012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0214X | Pediatric Pulmonology Physician | ME0050223 | FL | Yes |

## Other

- **Enumeration date:** 03/18/2015
- **Last updated:** 03/18/2015